Agent and/or Influencer Application Form
LET US KNOW WHICH TITLE YOU ARE WANTING TO APPLY FOR OR BOTH?
AGENT or INFLUENCER - Information
COMMISSION BASE EARNINGS PLUS INCENTIVES
Name
First Name
Last Name
Are you wanting to apply to become an Agent or an Influencer or Both?
Age
Email
example@example.com
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Influencer via Social Media Accounts
CLIENT DISCOUNT CODE EARNINGS
Instagram
Twitter
Facebook
YouTube
CAMPAIGN Information
Payment Method
Please Select
PayPal
Purchase Order
Who will own the copyright of the media (image or video) uploaded?
Advertiser
Influencer
Is approval needed for the content created?
needed
not needed
Some Fun Questions
What excites you the most about joining our PowerfulME health supplement team that emphasizes both health and earning opportunities?
Tell us about your experience with health supplements. Which ones have you tried, and what benefits have you experienced?
Now, let's dive into the earning aspect!
.
Are you familiar with affiliate marketing or direct selling? If yes, tell us about your experience. If not, don't worry – we'll guide you!
How much time can you dedicate to earning with our health supplement team? Full-time, part-time, or just a few hours a week?
Congratulations on taking the first step toward an exciting and rewarding journey with our Health Supplement Team! By joining us, you're not just becoming a team member; you're becoming a part of a vibrant community that values both health and prosperity. Once you submit this form, our team will review your application, and if you're a great fit (we think you are!), we'll reach out to you with more details. Together, we'll work towards your goals, celebrate each success, and have a blast doing it! If you have any questions or want to add anything else, feel free to let us know. Get ready to embrace the world of health supplements, have fun, and earn along the way!
Lets Do This!
AN ON-LINE MEETING WILL BE SCHEDULED UPON APPLICATION APROVAL
Date
-
Month
-
Day
Year
Date
Agent/Influencer Signature
Print Form
Submit
Submit
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