WASP Application Form
Please complete and submit this Wyzer Affiliate Sales/Marketing Program application form to be considered for a Wyzer Affiliate Partnership.
Organization
*
Please enter the Legal Name of your Organization
Name
*
First Name
Last Name
Phone Number
*
Please enter the best phone number to reach you.
Email Address
*
Please enter the best email address to reach you.
Organization Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Website URL
Please enter the Primary URL Address for your Organization.
Promotion Method
Give a brief summary of how you intend to promote our Products, and any special requests you may have for co-Marketing or co_Advertising.
Social Media Presence (Choose All That Apply)
FaceBook
X/Twitter
Instagram
TikTok
Truth Social
Gettr
YouTube
Rumble
Vimeo
Substack
Other
# of Viewers and/or Subscribers
Please Select
1 - 1,000
1,001 - 5,000
5,001 - 20,000
20,001 - 50,000
50,001 - 100,000
100,001 - 500,000
500,001 - 1Million
1Million+
Please Select the category that best describes your organization's online reach.
Preferred Affiliate Partner Code
This will be the DISCOUNT CODE your users will enter during checkout on Wyzer's platforms.
Submit
Should be Empty: