Affiliate Signup Form
Contact Details
Contact
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First Name
Last Name
E-mail
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example@example.com
Age
Must be 18+ to apply for this program
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Best Way to Contact You
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Email
Text
Telegram
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Social Profiles
Please include the direct link to your profiles so our team can review your content.
Instagram Profile URL
*
TikTok Profile URL
*
YouTube Channel URL
*
X / Twitter Profile URL
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Audience & Reach
Help us understand your audience size and who follows your content.
Combined Audience Size Across All Platforms
*
Please Select
Under 1,000
1,000 – 5,000
5,000 – 20,000
20,000 – 100,000
100,000+
Where Is Most Of Your Audience Located?
*
Please Select
United States
Canada
United Kingdom
Europe
Australia
Global
Other
What Best Describes Your Audience?
*
Please Select
Fitness / Gym
Biohacking
Longevity
Health Optimization
Wellness
Medical / Research
General Audience
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Promotion Plan
How Do You Plan To Promote Products Through Our Creator Network?
*
How Many Posts Per Month Could You Realistically Create About Our Products?
*
Please Select
1–2
3–5
5–10
10+
Are you personally familiar with peptides or peptide-related research topics?
*
Yes — I actively research or follow peptide-related topics
Yes — I have personal experience with peptides
No — but I am interested in learning
No — not currently
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Affiliate Experience
Have You Promoted Affiliate Products Before?
Yes
No
Approximate Monthly Affiliate Revenue
Please Select
None yet
Under $1,000
$1,000 – $5,000
$5,000 – $20,000
$20,000+
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Compliance
Please Confirm The Following
*
I will not make medical claims
I will not claim products treat, cure, or prevent disease
I will follow FTC disclosure guidelines
I will not impersonate the brand
I will only use approved marketing materials
Final Questions
How Did You Hear About The Peptide Influencers Network?
*
Please Select
Social media
Friend or referral
Creator outreach
Google search
Other
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