HWS & Whiplash Group

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Year THREE and beyond

Ongoing CERTIFIED veteran member black-belting their PI and marketing skills. Continuing with education, helping teach, directly and positively influencing their community and the med-chiro-legal communities.

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Recurring Payment	$1000.00 Annually auto-debits starting 02/05/2026

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I authorize HWS & Whiplash Group to debit the account listed hereon $1000.00, & agree to perform the issuer obligations. I authorize HWS & Whiplash Group to auto-debit the account listed hereon $1000.00 Annually starting 02/05/2026 & agree to perform the issuer obligations. I affirm that the information entered on this form is true and correct.

HWS & Whiplash Group
10464 S. Redwood Dr South Jordan, UT 84095
(385) 257-1700

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