Please note: this form is a courtesy service to collect your information for enrollment. It will be forwarded to the person that invited you to take a look. Enrollment is not final until your information is received by the person that invited you and entered by that person. For the fastest enrollment, please contact the person that invited you to view our video and ask him or her to enter your information directly. If you do continue here and fill out the form, rest assured it will be processed in the most timely manner possible, usually within 24 hours.

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"Healy is a microcurrent medical device that has been cleared by the U.S. Food and Drug Administration for relief of acute, chronic, and arthritis pain and muscle soreness due to overexertion. Healy also has non-medical applications that use individualized frequencies to help balance your mind and body and relieve stress. Always use your Healy in accordance with its Instructions for Use."

* Free enrollment is available worldwide until further notice. The $49 Business Enrollment Fee is currently waived. This is subject to be added at any time, please contact the person that referred you for further details.

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