ZigaForm version 5.7.1

Refer A Friend

MagnaWave Affiliates please list YOUR information under the Affiliate Section and enter your referral’s information under the “Contact Information” Section. *To be considered a MagnaWave affiliate, you must have previously signed up and submitted the affiliate documentation. If you need to sign up, please email cameron@magnawavepemf.com

Affiliate Name(Required)
Please ensure the email entered above matches your email on file or else the lead attribution may be voided. This is your (the Affiliate) email address

Contact's Information

Name(Required)
This is the email address of the person you are signing up. It must be correct or you will not get credit when they purchase. DO NOT ENTER YOUR AFFILIATE EMAIL ADDRESS IN THIS FIELD
MagnaWave reaches out to all new leads from our website. You acknowledge that your refferal will be contacted by one of our sales specialists.(Required)