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Affiliate Registration

  • Example: http://www.yourwebsite.com
  • This will be used for your referral/web profile URLs and should not contain spaces or special characters (&!#$%', etc.).
    Example: CoreHealthProducts OR core-health-products
  • Used for receiving payout notifications. If you are a PayPal user, we recommend setting this to your PayPal account email address.
  • Short introduction your referrals will see when they visit your affiliate profile page.
  • Accepted file types: jpg, jpeg, gif, png.
    Please upload either a .jpg or .png file no larger than 300px x 300px in size.
    By checking this box and submitting this form, you agree that you have read and agree to the Affiliate Terms and Conditions.
  • This field is for validation purposes and should be left unchanged.