Innate Success - Affiliate Program Application

Innate Success online chiropractic seminars developed for chiropractors

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Affiliate Program Application

Signing up for our #1-rated Affiliate Program will take less than two minutes! And within five minutes of completing this form, we'll send you the username and password you need to access the Affiliate Resource Center and start earning top commissions!

Simply fill out this form with the name and mailing address of the person to whom we should send referral payments earned through this program. (The name you provide here will be what appears on your monthly commission check. The email address you provide will be the one we send the commission reports to.)

Note: You must enter a valid email address and a secure password to protect your account.

* Required Field

* Company Name:
* First Name:
* Last Name:
* Street Address:
* City:
* State/Province:
* Postal Code:
* Country:
* Phone:
Fax:
* Email:
Confirm Email:
	Please double check your email address in the above field, as this is where we will be sending you all of your information.

Tax ID:
* Password:
Password (confirm):

Please review the Operating Agreement, which describes the terms and conditions of your participation in the Affiliate Program. Once you have filled out this form and reviewed the agreement, press the "Submit" button to submit your application. If your application to participate in The Innate Success Affiliate Program is accepted, you hereby agree to be bound by the terms and conditions of the operating agreement which you hereby state to have read and understood. It is against your affiliate agreement to advertise Innate Success via unsolicited email. Some people think that affiliates' "spam" email originated from us, damaging our reputation and causing us many administrative problems. DO NOT send unsolicited email to promote Innate Success, or you will be in violation of your affiliate's operating agreement and your account will be terminated, forfeiting all outstanding referral fees. Your cooperation and understanding is appreciated.

You will be contacted within 5 minutes by email with your special assigned URL you need to use when sending customers to innatesuccess.org and easy instructions on how to get everything set up immediately.

If you experience any problems, please email affiliates@innatesuccess.org