Affiliate Signup Form

Affiliate Signup Form
Contact Details
Contact*

First NameLast Name
E-mail*
example@example.com
Age
Must be 18+ to apply for this program
Location

City

Country
Best Way to Contact You

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*

Audience & Reach

Help us understand your audience size and who follows your content.
Combined Audience Size Across All Platforms*
Where Is Most Of Your Audience Located?*
What Best Describes Your Audience?*

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?*
Yes — I actively research or follow peptide-related topicsYes — I have personal experience with peptidesNo — but I am interested in learningNo — not currently

Affiliate Experience
YesNo
Approximate Monthly Affiliate Revenue

Compliance
I will not make medical claimsI will not claim products treat, cure, or prevent diseaseI will follow FTC disclosure guidelinesI will not impersonate the brandI will only use approved marketing materials

Final Questions
How Did You Hear About The Peptide Influencers Network?*
Should be Empty: