Apply to as an Affiliate/Influencer

First and Last Name *

Primary Email *

Street Address *

City *

State *

Zip/postal code *

Contact Phone Number *

Your Current Social Media Pages *

Item desired to promote (could be a picture, a link, or a description) *

What are your plans for marketing our products? *

How and where will you promote the product? Instagram, facebook, youtube, pinterest etc. *

Who will you promote the product to? Demographics (gender, age, location, interests etc.) *

List or Input reference Code desired. Used to validate sales from Influencer/Affiliate product promotion. *

Submit the application to join our Influencer and Affiliate Program by filling out the information requested in the form above. Please note that failure to complete all relevant fields and provide the required information is grounds for non-approval. Providing false or misleading information is also grounds for immediate termination of your participation and will result in all current and future commissions being void. All the information above is relevant and is subject to being accepted to the programs.