Home OLOS FACIAL TREATMENT PURCHASE FORM NAME AS PER ID CARD / PASSPORT ID CARD / PASSPORT NO. OLOS FACIAL TREATMENT VISIT DATE* CONTACT NUMBER EMAIL ADDRESS OPTION 1 : YOUR SELFIE (jpg file) OPTION 2 : YOUR SELFIE (zip file, if more than one file) INSTRUCTIONS: Customers are required to upload the payment receipt after purchasing the treatment for registration. Registration form should be presented upon arrival on the first visit date. MESSAGE (OPTIONAL) Δ