Transforming Wellness Together
Bundle Campaign
Brand Information
Are you a Brand or a Clinic?
Brand/Clinic Name
Primary Contact Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Product/Bundle Details
Product/Bundle Name
Product Category
Please Select
Pain Relief
Skincare
Immune Support
Wellness Technology
Fitness/Health
Other
Product/Bundle Description
Please provide a detailed description of the product you will be contributing to the wellness bundles.
Quantity of Products Contributed
Enter the total number of units you will provide
Price
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Campaign Allocation
Is this product for Online Sales, Gala Auction, or Both?
Please Select
Online Sales
Gala Auction
Both
Shipping and Logistics
Shipping Method
Please Select
Will handle shipping directly to recipients
Will provide products for centralized distribution via AI Wellness
Shipping details to be confirmed later
Estimated Date of Product Delivery
-
Month
-
Day
Year
Date
Shipping Note
Please include any specific instructions regarding the shipment of your products.
Discount Codes/Affiliate Programs
Will you offer a unique discount code for the campaign?
Please Select
Yes
No
Please Specify the Discount Code
Will you participate in the affiliate program?
Please Select
Yes
No
Please Specify the Affiliate Program Terms
Co-Branding Opportunities
Are you interested in co-branding content (videos, webinars, etc.)?
Please Select
Yes
No
Please Specify Your Ideas for Co-Branding
Performance Metrics and Reporting
Would you like to receive detailed performance reports throughout the campaign?
Please Select
Yes
No
Testimonials and Case Studies
Will you provide customer testimonials or case studies for promotional purposes?
Please Select
Yes
No
If Yes, Please Upload Testimonials/Case Studies
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Social Media and Marketing Involvement
Will you share campaign promotions on your social media channels?
Please Select
Yes
No
Please Specify Your Social Media Handles
Social Media Platforms
Instagram
LinkedIn
Facebook
Twitter/X
Tiktok
Other
Would you like co-branded social media content to share?
Please Select
Yes
No
Please specify the type of content you’d like (e.g., images, videos, captions)
Event Participation (Gala/Virtual Events)
Would you like to participate in the America First Gala?
Please Select
Yes
No
Number of Attendees from Your Company
Would you like to participate in virtual wellness events?
Please Select
Yes
No
If Yes, please specify your ideas for participation (e.g., leading a session, presenting a product)
Special Instructions for Packaging and Branding
Do you have specific packaging or branding requirements for the wellness bundles?
Please Select
Yes
No
Please Specify
(e.g., branded packaging, promotional inserts, gift-wrapping preferences)
Payment and Financial Information
(Optional for Affiliate/Discount Code Programs)
Would you like to set up direct payment information for affiliate program payouts or donations?
Please Select
Yes
No
Provide Payment Information
Bank Name - Account Number - Routing Number - Payment Instructions
Partnership Tier Selection
Select Your Partnership Tier
Please Select
Bronze Partner (Standard Wellness Bundle Contribution)
Silver Partner (Additional Co-Branding and Product Features)
Gold Partner (Premium Placement in Gala Auction and Event Sponsorship)
Would you like to sponsor additional wellness bundles?
Please Select
Yes
No
Please Specify the Number of Additional Bundles
CSR and Impact Reporting
Would you like to receive a Corporate Social Responsibility (CSR) report showing the impact of your contribution?
Please Select
Yes
No
Custom Requests
Do you have any custom requests for your participation in the campaign?
Please Select
Yes
No
Please Specify
(e.g., Custom branded promotional materials, unique event participation, special acknowledgments, etc.)
Consent and Signature
Signature
Date of Submission
-
Month
-
Day
Year
Date
Continue
Continue
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