FOR NEW PROVIDERS ONLY

Thank you for joining SoftWave Clinics! Please fill out the information below to process your payment of $100/mo for your membership. NOTE: This is a special promotion for new providers. Your card will only be charged 50% for the first 6 MONTHS. You can cancel your membership anytime. We look forward to partnering together!

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Name*

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Email*

Billing Address*

Street Address City State ZIP / Postal Code Country

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*Your card will only be charged 50% for the first 6 MONTHS. After that it will increase to the full $100

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By clicking Submit, you agree to let Softwave process recurring payments for your Softwave Membership. You can cancel at any time by providing a 30-day notice.

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FOR NEW PROVIDERS ONLY

FIRST 6 MONTHS 50% DISCOUNT