Referral Sign Up

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Would you like to be considered for collaborations or features on our social channels?*

YesNo

Free Product Samples

We’re happy to provide free samples to content creators with a combined following of 10,000+ across social channels.

👉 Don’t have 10k followers? No problem. We also offer free samples to providers who want to share our tools with their clients or community. Submit our Clinician Samples Form instead to get free samples along with a referral discount code & link.

I would like free product samples

Would you like free samples to create content on social media?*

YesNo

We're happy to gift free samples to active content creators!

Please enter at least one social media account to be considered for free samples. (Username only — no "@" or links. Example: johndoe)

👉 Not very active on social media? Submit our Clinician Samples Form instead to get free samples for your entire team, along with a referral discount code & link.

Instagram*

Instagram Followers

TikTok*

TikTok Followers

YouTube*

YouTube Subscribers

Facebook*

Facebook Followers

Combined Followers (Hidden)

Please enter at least one social media account to be considered for free samples.

Do you have a media kit? If so, please upload it here. (If you would like to discuss specific collabs, please email us at lindsay@newflora.com).

What is most important to you when joining our Referral Program? (select all that apply)*

Rewards & CommissionGive discounts to my communityBe the first to know of new products and salesOther

How did you first hear about our Referral Program?

Comments (optional)

After signing up, you'll receive an email with your referral code and link, along with instructons for managing your account. Be sure to check your spam folder if you don't see it!

By submitting this form, you consent to receive communications via email.

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