Place an order below Within 48 hours after placing the order, you will receive an email with a separate invoice and payment invitation All products available on Photonwave.be are only sold to therapists. By filling in this form, you declare being a therapist using Photonwave for professional purposes. If your application is accepted, a separate payment invitation will be sent to you per email. Start here Fill in the fields belowTitleEnter your name* First Last Profession*ClinicVAT number (if applicable)Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email* Phone*Website If you don't have a website, use this field to submit some other kind of online reference to your activities.How did you find us (via whom / which channel)? Order selection PhotonWave Price: 4.950,00 € Campimeter Price: 899,00 € Select the item's you'd like to order* Select All PhotonWave Campimeter Select your Shipping & Handling category*Every product has a different shipping & handling cost. If you buy both products, a reduction applies. Please make the right selection according to your checked order items.I order: PhotonWave ( + €150,00)I order: Campimeter ( + €100,00)I order both: PhotonWave + CampimeterNo shipping applies as I will pick up the products myself in Puurs, Belgium ( + €0,00) For shipping in the EU, all prices are excluding VAT (21%). Import taxes will have to be paid at the local country. Important remark This is not a medical device, all users should consult a medical professional for any illness or serious condition. Rainbow-Flash bvba is not responsible at any time for any misuse of the PhotonWave. Rainbow-Flash b.v.b.a. Louis Van Campenhoutstraat 41 B - 2870 Liezele BELGIUM VAT Nr. BE 0552 522 886E-mail: firstname.lastname@example.org Tel: 0032/(0)4126.96.36.199 Web: www.photonwave.be What happens next By submitting this form, you agree to receive a custom invoice with a payment invitation. This is a manual process, please keep in mind that the invoice creation will not happen instantly. You will be contacted via email afterwards. NameThis field is for validation purposes and should be left unchanged.