Be Healthy Affiliate Program: Sign Up Form

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I am selecting a few healthcare providers to collaborate with.

I believe you are a wonderful provider, and I would love the opportunity to collaborate with you.

It’s a win-win-win opportunity.

What if you could give your clients a gift card for a virtual, science-based wellness program (value: $59) at no cost?

Not any gift, but a gift that would benefit their healing journey.

Your patients will be grateful to YOU for providing an additional tool that helps their recovery.

There is no obligation and no commitment!

Let's Collaborate!

Full Name / Company Name *

Profession *

Email *

Website URL *

How did you hear about Be Healthy Academy Partners?
*

Would you like to participate in one of our future virtual meetings? *

Yes, I want to participate in a live meeting before proceeding.

Yes, I want to join one meeting, but I am ready to recommend this program to my clients already

No, thanks. I am ready to move forward.

Would you like to schedule a virtual coffee/demo with Ana? *

Yes, I want to learn more about Ana before proceeding.

Yes, I want to learn more about Ana, but I am ready to recommend this program to my clients already.

No, thanks. I am ready to move forward.

We are considering creating an affiliated program in the future and offer a referral bonus to our partners. Would you be interested on this?
*

Yes, I would recommend more clients if I was compensated for each referral.

Yes, but it would NOT change how many clients I would refer.

I would prefer to donate my bonus to clients that can't afford the program or to some charity.

No, thanks.

Do you have any questions? *

Thank you for partnering with me to help boost your clients' healing.

I will email you within 7 days with the Special gift code to provide to your clients!

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