Affiliate Signup Form

Affiliate Application Form

Please complete. Allow us 48 hours to review your application and respond to you.
Your Name*

First NameLast Name
E-mail*
example@example.com
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
What social platforms are you currently active on?

FacebookInstagramTwitterTikTokOther
Agreement and Terms*

By submitting this agreement the undersigned agree to our terms & conditions found online at: https://www.shipcanada.ca/affiliate-terms.php
Digital Signature Name*

First NameLast Name
Digital Signature Date*

MonthDayYear
Date
Should be Empty: