2024 Scientific Wrestling New Affiliate Application Form

UPGRADING - Existing Members

*To upgrade fill out the form below to upgrade your membership and all and receive all of the benefits of the SW Affiliate plan.

IMPORTANT

Use your existing email address and username to successfully upgrade your account.

Prefill User Details - Existing Members

*Prefill user details allows existing members to enter their existing ScientificWrestling.com username and password.

The form will then be prefilled with your account information so you do not have to fill out the form again. User will have to fill in the credit card section.

Fill in the fields and follow the prompts below. Please note, affiliation is non-transferrable and non-refundable.

Secure Subscription Form for Affiliates

We respect your privacy. The personal information requested below is for use in processing your credit card, which is done with secure encryption. We never reveal, share, or sell member information. For complete details see our Privacy Statement.

Customer Information

First Name [*]

Last Name [*]

Company

Address [*]

Address 2

City [*]

Country [*]

Zip/Postal Code [*]

Email [*]

Phone Number

Mobile Number

Subscription Options

Subscription Plans [*]

Scientific Wrestling Affiliates

$9,997 +$497 per year begins year 2

Scientific Wrestling Affiliates

$2497 down payment
$225 per month for 40 months.
+$495 per year begins year 2

Scientific Wrestling Affiliates

$497 down payment
$295 per month for 40 months.
+$495 per year begins year 2

Username [*]

Password [*]

Minimum 8 characters, with at least 1 uppercase, 1 lowercase and 1 numeric character

Confirm Password [*]

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Payment Information

Payment Method [*]

Credit Card Number [*]

CVV Code [*]

Expiration Date [*]

Name on Credit Card [*]

<<< Please Check The Box to acknowledge that you have read and understood our terms of use.

NOTE: It can take up to a minute to process the credit card information and obtain approval. Please do not press the submit button multiple times - doing so could cause double billing.

For the protection and privacy of our visitors and customers, as well as the security of the server, suspicious activities on our site are monitored, tracked and reported.