Become a Brand Affiliate

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Which products are you interested in promoting?* This field is required.

Nora Hair Products

My Natural Hair Book Workbook & Journal

Both

5

Which Nora Hair Products are you tried?Please choose all that apply

Shampoo or conditioner

Leave-in spray

Regrowth Serum

Daily Hair Moisturizer

My Natural Hair Book Workbook &Journal

6

Why do you want to become an affiliate for our brand? (Please be honest there is no right or wrong answer).* This field is required.

8

Please list all social media platforms handle/username for each (e.g., Instagram: @YourName, TikTok: @YourName, Facebook: Your Name).* This field is required.

9

Have you ever been an affiliate for other brands before? (Yes/No — If yes, please list brands)* This field is required.

10

How would you plan to promote our products? (e.g., social media, events, email lists, etc.)* This field is required.

11

How many hours per week can you commit to promoting?* This field is required.

12

Do you agree to follow our affiliate guidelines and represent the brand professionally? (Yes/No)* This field is required.

YESNO

13

Preferred payout method (PayPal, Bank Transfer, Other):* This field is required.