AMP COIL FORM

Amp Coil

If you are interested in learning more about AmpCoil please fill out this form!

 

If you are an Ambassador filling out this form, please input the email, name, and information of the person you are referring who is interested in learning more about AmpCoil.

Amp Coil

Demo Agreement

Amp Coil

Thank you for your interest in AmpCoil, a wellness device from Health Evolution Technology, Inc.

(HET). The AmpCoil includes all of its software and other components which make up the AmpCoil

System. The AmpCoil System generates a non-invasive pulsed electromagnetic field which emits a

series of pulsing electromagnetic frequencies (PEMF).


Before your Demonstration please read and acknowledge each of the following statements:


The AmpCoil System is not a replacement for any medical treatment. The AmpCoil System is not

intended for use in the diagnosis, treatment, cure, mitigation or prevention of any disease, medical

condition, physical or psychological disorder. It should not be considered a replacement for medical

advice or treatment. If you have a serious, acute, or chronic health concern, please consult with a

health care professional.


Please tell us how you FIRST heard about AmpCoil (check all applicable):


Thank you for your interest in AmpCoil! We may contact you for feedback about your Demo experience and provide additional information about the AmpCoil System.



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