Farmtrue: Affiliate Program Application

Thank you for connecting with us and being a part of the Farmtrue community!  We’re excited to welcome you to our Affiliate program and look forward to sharing the love of Ayurveda, health and wellness together.

Please fill out the information below so we can ensure that sales and payments are recorded and dispersed properly. 
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Email *
First Name *
Last Name
 *
Telephone Number 
Only to be used if there are any questions or issues with payments
Business Name  *
Business Website
Social Media Profiles
Are you planning on sharing Farmtrue content on your social channels?  We'd love to follow along and help to promote the content.  Please share any profiles you plan to use. 
 *
Preferred Coupon Code
Is there a specific code you'd prefer to use?  Ex: SOLLUNA15 *
Make Checks Payable to...
Please provide the name that your commission checks should be made out to.  
 *
Shipping and Mailing Address
This is the address where we will send commission checks.  This address should be available to accept packages as well as traditional mail as we like to send our affiliates goodies from time to time! No PO Boxes, please.  *
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