Business Affiliate Registration Form
Versatyle Solutions partners with trusted businesses to support our clients as they launch and grow on their entrepreneurial journey! Your business plays an important role in helping our clients grow, launch, and succeed. Choose the level of partnership that best fits your visibility goals and engagement capacity. Let’s create the best solutions – together!
Business Name
*
Business Type / Industry
*
Other:
Business Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Website URL:
*
www.example.com
Social Media Links
*
Page Link
FaceBook
Instagram
LinkedIn
Pinterest
TikTok
X/Twitter
YouTube
Other
Business Logo
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Business Flyer/Promo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Contact Name
*
First Name
Last Name
Job Title / Role
*
Best Contact Number
*
Please enter a valid phone number.
Email address
*
info@yourcompany.com
Why are you interested in affiliation with Versatyle Solutions? (2-5 Sentences)
*
Describe the services/products your business provides:
*
Preferred Types of Referrals:
*
Startups (0–12 months in business)
Growing Small Businesses (1–3 years)
Established Businesses (3+ years)
Any Stage
Please select your Affiliate Package:
*
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The Connector Affiliate
Ideal for affiliates who want to “stay in the loop” and receive occasional referrals as opportunities arise.
$
25.00
The Momentum Affiliate
Designed for actively engaged partners who want more exposure and a stronger presence in our entrepreneurial network.
$
50.00
The Strategic Affiliate
For trusted, high-level collaborators who want premium referral access, strategic alignment, and co-hosting opportunities.
$
100.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Afterpay
After submitting the form, you will be redirected to Afterpay to complete the payment.
Do you have any additional comments or feedback?
Signature
*
Date
*
-
Month
-
Day
Year
Date
SUBMIT
SUBMIT
Should be Empty: