Pro Application Form

Your Details

To complete this form, you will need your CRN number (Company Registration Number), if applicable, and proof of your qualifications to hand. If you do not have this information to hand, please complete our enquiry form.

First Name

Last Name

Email

Confirm Email

Phone Number

You consent to receive marketing communications from Skin Rocks LTD (including exclusive promotions and educational and business updates via email, telephone and WhatsApp using the contact details provided. For more information, please refer to our Privacy Policy for further details.

Business Details

We need a few details about your business (including if you are self-employed) to help us process your application.

Business Name

Will you have other professionals performing Skin Rocks Treatments?

Yes No

Is your business a registered limited company?

Yes No

Is your trading name different to your registered business name?

Yes No

Is your trading address different to your registered business address?

Yes No

Trading Address

Start typing your trading address i.e. 57 Westbourne Street

Street

City

Country / State / Region / Province

Post Code

Business Address

Start typing your business address i.e. 57 Westbourne Street

Street

City

Country / State / Region / Province

Post Code

Further Details

Help us discover more about your business online.

Website and Socials

Website

Social Media Account/s

Qualifications

Please upload a clear image or scan of your certificate(s) and unit page(s) to move forward with your application. If you are unable to submit at this stage, please complete our enquiry form. For questions regarding qualifications please connect with us on Live Chat.

Qualification Level

Upload Your Highest QualificationBy uploading your certificate or qualification, you authorise and consent to our verification of their authenticity with the issuing or awarding body, or with third parties where necessary.

Drag and drop your qualification here or click here

.png, .jpeg, .pdf, .heic

Other DocumentsUpload any other certificates or unit pages here.

Drag and drop your files here or click here

.png, .jpeg, .pdf, .heic

Review

Please double check your details are correct before submitting your application. By submitting you confirm you are a licensed and insured skincare professional authorised to purchase and use professional Skin Rocks products.

It may take a moment to submit your application, please do not refresh this page.

As part of our application process, we will conduct a soft credit check using the information you provide. This is to help us assess your eligibility. By proceeding, you consent to this soft credit check being carried out. This will not impact your credit score.

Your Details

Business Details

Further Details

Qualifications

Review

Thank you.

One of our team will be in touch soon.