Present your VIP Card on each visit, you'll get 20% Off your first purchase at The Tanning Cabin. Collect points with each purchase and redeem them on anything in our stores.

Name
Gender
Email
Date of Birth

Address including Postcode

(Home) Tel

(Mobile) Tel

How long do you plan to tan with us?

How did you hear about us?

What would you be willing to spend on your tan?

Your Reason for Tanning

Would you like...
20% Off my first purchase
to learn more about tanning

Have you shopped with us before?

Have you tanned with us before?

Please tick if you have ever
Consulted a dermatologist
Had radiation treatment
Had a cataract operation
Had an organ transplant

Do you have, or have you suffered from
Heart condition Chest condition Back problems
Fits Moles Migraines Diabetes Sunburn
Kidney/urinary problems Peeling Blistering
Heat rash Sunstroke Sore eyes

There are some medicines which increase the skin's sensitivity to UV light. If you are taking ANY medication
please state below.

If you are currently taking the contraceptive pill, have you ever noticed an unusual pigmentation when suntanned?

Have you any reason to believe you are pregnant?

Which skin type are you?

Skin type I
Very fair skin, fair to red hair, blue eyes, burns every time.
Skin type II
Fair skin, blonde to light brown hair, blue eyes, burns quite easily.
Skin type III
Normal skin, dark blonde to brown hair, grey to brown eyes, occasionally burns.
Skin type IV
Light brown to olive skin, dark hair and eyes, rarely burns.

Which store would you be using?

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