Apply for a Crystal Herbs Practitioner Account

If you are a qualified practitioner and would like to use our range of essences as part of your practice, you can apply for a 'Practitioner Account' here.

Stage One: Create Your Online Account

Flowers

Please go to 'My Account' and create an online account for yourself.

This is important as this is the account that will be authorised as your 'Practitioner Account'. ( If you have already have an online account with us at Crystal Herbs, please use the email address associated with this account in your application below ).

Stage Two: Make Your Application

Once you have created your online account ( as above ), then please complete all fields below to apply for your Practitioner Account.

Your Practice Details

 

Your First Name

Your Surname

Practice Name

Your Address

Postcode

Country

 

V.A.T. Number ( if applicable )

Website ( if applicable )

 

Existing Customer?

If you are an existing customer who has ordered with us before and would now like to register as a practitioner, please tick here.

 

Your Account Details

 

Contact Email Address

Contact Telephone Number

 

Practitioner Qualifications

 

Please list your practitioner qualifications.

 

 

Thank you for completing the Practitioner Account Application form.

Please make sure that you have completed stage one ( created your online account ) and that all the relevant fields above are complete.

To complete your application, please click submit, and we will respond to your application as soon as possible - many thanks!

 

 

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