Affiliate Membership Registration Form

Affiliate Membership Registration Form

The information provided in this form will only be used by our company to document members within our organization.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Enter the six (6) digit Ref # found on the business card or the six (6) digit code found on the event ticket that you have received. *
Promotional Resources

As a member of our affiliate team, you will receive a company button upon purchasing a set of 300 recruitment business cards or event tickets. Our free Business Services and Recruitment Booklet is also added to your package until August 24, 2023. Please order your preferred recruitment resources below. These resources will be shipped to the address that is listed on this registration form. If you would like to collect these promotional resources at our office located at 6103 Strickland Avenue, Brooklyn, New York 11234, please select a pickup date below, otherwise please add the mailing fee to your order so that the products will be shipped to you. Please note that refunds are not available for promotional resources such as the company button, booklet, event tickets or network recruitment cards.
Business Services and Recruitment Booklet Sample

For Business Interests (clients interested in our services), you may use the "Schedule Now" button on the bottom of our page to submit your information and booking. You will be able to add your six (6) digit Referral # as seen on your Network Recruitment Card or as seen in your affiliate dashboard or in your email 24 hours following registration. Network Interests are individuals who are interested in recruiting business clients. You may contact your network interests and assist them to find the "Become an Affiliate" button on the top of our website page in order for them to be registered.
Promotional Resources Pickup Appointment (must be atleast 3 business days following your registration date)

Add Products to Cart

1,000 Event Tickets

14 Business Days (customized with referral code)

$300.00 Quantity

1,000 Network Recruitment Cards

14 Business Days (customized with referral code)

$300.00 Quantity

Business Services and Recruitment Booklet

Shipped to you free of cost when you order a set of Network Recruitment Cards or Event Tickets (free until August 24, 2023). Arrives in 14 Business Days.

$35.00 Quantity

Company Button

14 Business Days

$10.00 Quantity

Success Coaching for Team Leaders and Network

Get a dedicated success coach to assist you with building a network with 200 members. You will receive 3 coaching sessions per week which lasts 30 minutes, spanning a period of 1 month. Your network will also receive coaching to achieve their goal of referring 20 business clients which allows you to earn $40,000 weekly. Once you select this option you will receive the success coaching registration link in your email. You will be able to complete a form to provide us with specific information about your coaching session.

$220.00 Quantity

Mailing Fee

$12.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

By clicking the submit button below, you understand that you will be working with our company on a membership basis. You also agree to follow our dress code regulations for public sale and recruitment which includes wearing our company button for part-time recruitment. Type "agree" in the box below and click the "submit" button to continue the membership registration process. *
Should be Empty:

Affiliate Membership Registration Form

Promotional Resources

Business Services and Recruitment Booklet Sample