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mobile service provider- independent contractor application

We're always looking to partner with LIcensed, dependable & professional mobile service providers across the U.S. If you're a local Chair Massage Company or Spa with mobile services and are interested in a strategic partnership with Infinite Massage please contact us directly.

If you're a Massage Therapist, Aesthetician, Nail Tech, Yoga Instructor, Reflexologist, Aromatherapist or other mobile spa professional, we would love to include you in our network. After submitting the application below , please fax the following documents to (866) 715-7465.

  • For MT's: a copy of your applicable Massage License (State, Local or NCBTMB)
    For Other Practitioners: a copy of any applicable Local License
  • A copy of your Liability Insurance Policy
  • A copy of your Business Card and/or Business License
 
First Name:

 Last Name:
Street Address:
 City:
State:
 Zip Code:
 Nearest Metro Area:
Primary Phone:
 Secondary Phone:
E-Mail Address:
Company Name: (optional)
What type of service provider are you?
 

Insurance & Licensing (if applicable)
Liability Insurance Provider
Professional License
Liability Insurance Policy #
License Number
Liability Insurance Exp Date
 License Exp. Date
 

Professional References
Reference #1
Name:

Phone Number:

Relationship:


Reference #2
Name: Phone Number: Relationship:
 

miscellaneous
How many total hours of professional training have you had?
Have you had specific training in Chair Massage?
(For MT's only)
How many years have you been practicing?
Can you provide all the necessary equipment & supplies?
Do you have your own practice and/or do you provide services for other companies or individuals?
   

Additional Comments:

 
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