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Referral Rewards Application
Please fill out this form to apply to for our Referral Rewards. In this application, the term 'Affiliate' refers to our 'Referral Rewards' program. By applying, you are joining as a participant in the Referral Rewards program. You don't need to have a business or be in the health and wellness industry for our Referral Rewards, so don't worry if some of the questions don't apply to you, just leave those blank. This is about sharing it with friends, family, or anyone who could benefit from the 8-Week Midlife Reset. Please note, all applications for the Referral Rewards program are subject to approval at Remedy Suite’s discretion. We reserve the right to review and decline applications based on our program criteria
First Name
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Required
Last Name
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Required
Email
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Required and must be a valid email address
How are you planning on promoting the 8-Week Midlife Reset Program?
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Required
Are you in the world of health and wellness? If yes, please specify eg. naturopath, gym, yoga studio, influencer.
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Required
If you have a business, what is it called and where are are you located? If you have social media, what is your Instagram and/or Facebook handle?
Field should be empty
Apply to become an Affiliate
Please fix the errors above
