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Fastherapy Partnership Inquiry Form
Thank you for your interest in Fastherapy and our partnership opportunities. Please fill out the form below, and our team will get back to you promptly to discuss how we can collaborate to enhance your business.
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Full Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
What is your position or role in the organization?
*
(e.g., Owner, Manager, Sales, Practitioner, etc.)
Your answer
Organization Name
*
Your answer
Organization Website
(if applicable)
Your answer
Organization Social Media Channels
(if applicable)
Please copy and past social media links to your organization in the text box.
Your answer
Business Type
*
Sports Facility (Weight training, Running, Golf, Tennis, Pickleball, etc.)
Spa
Nail Salon
Religious and/or Charitable Organization
Other:
Required
Business Location
*
Please provide Street address, City, State, and Zip Code
Your answer
Number of Practitioners (if applicable)
*
Enter the number of practitioners in your organization
Your answer
Select the areas you are interested in:
*
Obtaining the Fastherapy Device
Training and Certification
Research Collaboration
Other:
Required
Preferred Method of Contact
Email
Phone
Text Message
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Select the best time to reach you:
*
Morning (9 AM - 12 PM)
Afternoon (12 PM - 5 PM)
Evening (5 PM - 8 PM)
Other:
Please add any specific questions or details you wish to share with us.
Your answer
How did you hear about us?
*
Internet Search
Social Media
Conference or Event
Referral
Other:
Required
I agree to have my data collected and stored according to the Fastherapy privacy policy.
*
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