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Affiliate Contact Info

Please provide your contact info so we can send you a sample of CORE7 and prepare for creating your affiliate record when you are ready.

Required fields are marked.

Contact details

First name

Last name

Phone

I agree to receive text messages from CORE7 at this number for affiliate related messaging. No promotional or advertising communications will be sent

Venmo username

This will be used for any bonus based commissions that are not tied directly to a product purchase.

Instagram username

If this account username is incorrect, please contact Ampelis below

Mailing address

This address will be used for sample shipments

Street address

Apartment, suite, or unit

Optional.

City

State

ZIP code

Country

United States

Commission program

Choose your commission structure

Preferred code

A code you would like to use. We will confirm it later. Sending this form does not reserve it.

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