This form is ideal for prospects who want to explore the Quantum Energy Wellness Bed, but do not want a wellness session. Use the Map Locator if your prospect wants a wellness session.
By using this form, you agree to our lead record verification, lead attribution, and confirmation of lead ownership processes.
These processes were created to ensure clarity and transparency in determining and informing which marketer owns and is responsible for tending to a specific lead.
To complete the recognition process, complete the form below.
Need help filling out the form? Contact us at affiliates@voidspacetech.org; we'll be happy to support you.
