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Crisalix SA & Merz North America Agreement

Please check the boxes beside the item below to indicate that you have reviewed, understood and agreed to these terms:

I am at least 18 years of age.
I understand that I will receive confirmation emails to the email address disclosed. I allow Ultherapy and Merz North America to send me news and information about Merz products, including Ultherapy to this email address.
I UNDERSTAND AND AGREE THAT THE SIMULATOR RESULTS ARE ONLY AN APPROXIMATION OF MY POST-PROCEDURAL RESULTS AND WILL POTENTIALLY DIFFER FROM THE RESULTS OF AN ACTUAL ULTEHRAPY TREATMENT, and I have read and understand the additional simulator terms of use, Merz North America, Inc. Terms of Use and Privacy Policy, and Crisalix SA Terms of Use.