OBIWELL - Votre partenaire bien-être

Membership form

Are you a wellness professional: a practitioner or a centre?

Do you want to inform individuals and/or companies about your services?

You can register below and start offering your services. If you want further information, you can call us (+32 (0)70 233 907) or send us an e-mail at obiwell@wellness-paladins.be.

Please fill in this form:

Type* Practitioner
Click on "Practitioner" if you are both independant (part-time or full-time) and practicing an activity whose goal is to improve the well being of people in at least one of the following areas: massage/relaxation, beauty, nutrition, personal/professional development, physical activity or artistic activity (music, dance, painting, etc.).
- Center
Click on "Center" if you are independant (part-time or full-time) or a company; if you have set-up a professional structure enabling you to serve more than one person at a time and if you practice in on the following areas: massage/relaxation, beauty, nutrition, personal/professional development, physical activity or artistic activity (music, dance, painting, etc.).

Reseller
Click on "Reseller" if you are both independant (part-time or full-time) or a company and you wish to sell our products and services. Gifts, Cards, Events, Programmes.
- Shop
Click on "Shop" if you are a brick or click store selling items related to wellness and/or well-being in one of the following areas: massage/relaxation, beauty, nutrition, personal/professional development, physical activity or artistic activity (music, dance, painting, etc.). As a "Shop", you can also take part in our Wellness Card partnership programme. Call us at +32 (0)70 233 907 or email us at obiwell@wellness-paladins.be.
- Room
Click on "Room" if you own one or several rooms that can be used for wellness activities.
Company
Title*
Name*
Firstname*
Language FR      NL      EN
 
Email*
(will be used as login and contact address)
Choose a password*
Comfirm your password*
 
Adress*
ZIP* - City*
Province*
Country*
VAT number
   

Phone*

Mobile
Fax
How did you hear about us?
If other:
 
Fields marked * are compulsory