Private Application

FIXPECTUS

PRIVATE APPLICATION

Fill out this form to see if you qualify for the

pectus transformation project

I will only take on clients who are willing to give this there all. If you are successful I will organise a call with you to get you set up.

Your first name

Your last name

Your best email address

Your country

Your mobile phone number

Your skype id (only if you have one)

Age

From 1-10. How severe is your case of Pectus Excavatum?

Are you willing and able to invest in this transformation?

Submit

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