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New Agents

Become an Agent

Are you/ your company qualified in taking ear impressions?

Are you/ your company interested in joining our growing network of ear impression agents?

If you answered yes to both questions above, we’d love to hear from you with view to getting you listed on our agent directory.

Please fill out our agent application form below and we’ll be in touch as soon as possible!

Company name

Contact name

Address

Post code/Zip code

City/Town

Country

Phone number

Email address

Website

VAT ID (if applicable)

Fee for ear impression (Monaural)

Fee for ear impression (Binaural)

Message

We agree to have the above company listed as an agent on London Ear Lab's website

We agree to have our fees quoted for ear impressions listed on London Ear Lab's website, and that these are true, accurate and will be quoted to all customers that contact us through London Ear Lab's website

We agree to take full responsibility for the quality of all ear impressions taken by us for customers that come through London Ear Lab's website, and will either re-do or refund any ear impressions that are deemed of poor quality by London Ear Lab.

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