Affiliate Offer Submittal
Hello! Welcome to Glow Natural Wellnesses affiliate offer submittal form.
Company Name:
Owner's Name
First Name
Last Name
Owner's Email:
example@example.com
Point of Contact (ie. Affiliate Manager) if applicable
First Name
Last Name
Point of Contact Email
example@example.com
Website URL:
Active Email List Size
Demographic of Your Audience
Are you willing to reciprocate offers?
Yes
No
Maybe
PLEASE READ: Due to licensing restrictions, Dr. Michelle needs to be very careful about the programs, services, and information that she personally endorses. Please note that our email list is Dr. Michelle's personal client and followers list, so any email to our list is an endorsement and will be treated as such. Please see the requirements below for when medical claims are made.
1. The information must be presented by a licensed medical professional who is licensed to practice medicine in the United States with an active medical degree. OR the content in its entirety must be medically reviewed by a medical professional with the aforementioned credentials. The medical reviewer's information must be clearly visible to the viewer/consumer. The degree received must be from an accredited college/university.
2. The statements and information presented must be backed up by peer reviewed research and sources must be available for our review.
3. Before Dr. Michelle can endorse anything, content/products must be made available for pre-screening prior to agreeing to promote the content/product.
Provide detailed information on your affiliate offer(s) below.
Heading
Please provide optin page URL:
Please provide sales page URL:
Please provide the price point of your offer (what our customers will pay):
If your offer is a supplement, please upload a copy of your label with product ingredients:
Browse Files
Drag and drop files here
Choose a file
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of
If a Physical Product, please send a sample to Dr. Michelle to review and test for approval:
19908 Front Beach Rd., Panama City Beach, FL 32413
Is your offer Evergreen or a Launch:
Evergreen
Launch
If a launch, please provide promo start date:
-
Month
-
Day
Year
Date
If a launch, please provide event start date:
-
Month
-
Day
Year
Date
Please provide detail on affiliate commission structure:
Thank You!
We will review your offer and be in contact :)
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