MagnaWave Website Information Form

Congratulations on signing up for a MagnaWave Website! Before we can begin creating your new site, we need a few things from you to get that going. Please fill out every item below to the best of your ability and click submit. If we have questions, we’ll be reaching out to verify your content before submitting it.

If you have questions or troubles, please reach out to marketing@mwpemf.com and we’ll help the best we can.

Step 1 of 3

What is your URL/Domain?*

Put your current domain here. If you do not have one, contact Marketing@mwpemf.com to see about purchasing one and options. If it contains MagnaWave in it, we will need to purchase it for you.
Business Name*
Name For Website Contact Info*
First Last
Please put in your name you'd like on the website.
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Contact Email*

Bio
Tell us about yourself, who you service, and what got you started in MagnaWave!
Are you a MagnaWave Affiliate?*
- Yes!
- No
- I'm not sure...send me info!
This will let you sell MagnaWave devices on your site and earn commission.
Headshot Image*
Accepted file types: jpg, pdf, png, tiff, jpeg.
Upload your headshot!
Action Shot Image
Accepted file types: jpg, pdf, png, tiff, jpeg.
Submit a photo of yourself giving a MagnaWave session or a client receiving one.
Logo
Accepted file types: jpg, pdf, png, tiff, jpeg.
Your business logo will be displayed at the top of the page. If you do not have one, email marketing@mwpemf.com to purchase one! We will use the standard MagnaWave logo if none is provided.

Facebook URL

If you do not have a social media profile, we recommend creating a page. Please email marketing@mwpemf.com for our services to help you!
Instagram URL
Twitter URL
YouTube URL
LinkedIn URL