AWARD APPLICATION
To become an Ashford Wellness CLEAN Product Award Winner a CLEAN Laboratory Partner, or a CLEAN Ingredient Supplier, please answer the questions below (takes ~3 minutes). We strive to respond to all inquiries within 2 business days. We look forward to working with you!
BECOME AN AWARD WINNER IN AS LITTLE AS 5 DAYS!
Step 1: Complete this form, complete an NDA, and provide your product/company details. Step 2: The Ashford Wellness Clinician Scientist Team evaluates the information. Step 3: Your company is awarded the AW CLEAN Award for qualifying products/services!!!
What type of certification are you interested in?
*
CLEAN Product Award
CLEAN Laboratory Partner
CLEAN Ingredient Supplier
Other
YOUR CONTACT INFORMATION
Full Name
*
First Name
Last Name
Business Title
*
Ex: Chief Marketing Officers
E-mail
*
example@example.com
Phone Number
*
BUSINESS DETAILS
Company Legal Name
*
Ex: Acme Company LLC
Brand Name/s
Ex: Supercool Mushrooms
Company website
*
How did you hear about us?
*
Please Select
Conference
Personal Invite from Ashford
Newspaper
Internet
Magazine
Social Media
Podcast
Other
PRODUCT DETAILS
What types of products does your company make/sell? (select all that apply)
*
Hemp Derived
Cannabis Derived
Supplements
Functional Mushroom
Other
How many SKUs do you have?
How many SKUs would you like to have certified?
*
NON-DISCLOSURE AGREEMENT
We value and honor transparent discussions. To facilitate open communication, we will send you a mutual NDA. Please provide your business' signatory information.
Contract Signatory Name
*
First Name
Last Name
Signatory Title
*
Ex: CEO
Signatory Email
*
example@example.com
Signatory Phone Number
Please enter a valid phone number.
AFFILIATE REFERRALS
Do you have an affiliate referrals program?
*
Yes
No
Not yet, but we will
Which affiliate program do you use?
Refursion
Share-a-sale
IMPACT
GoAppPro
Other
We love connecting with our brands and partners. If you like, you may book a 15-minute call with our team using the calendar below.
If you have questions, please detail them here.
NEXT STEPS!
Thank you for submitting your information. We aim to respond to all inquiries via email within 2 business days. If you would like to meet with a member of our CLEAN team to discuss your submission, please use this link to schedule an appointment. https://calendly.com/angie-schwab/15-minute-phone-meeting . We look forward to working with you!
Please verify that you are human
*
Submission Date & Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Submit
Ashford International LLC
dba ASHFORD WELLNESS
151 Calle de San Francisco
Ste 200, PMB 5302
San Juan, PR 00901
Info@ashfordwellness.com
www.ashfordwellness.com
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform