Affiliate Registration

Thank you for your interest in becoming an affiliate. Please fill out the form below to submit a request to be added to the affiliate program!

Name*
First Last
Email*
Enter Email Confirm Email
Username*
This must be the username you signed up with on LauraAlAmery.com!
Your Website*
Please enter the website you plan on using to promote our courses.
Promotional Methods*
How do you plan on promoting our courses? You can using tags, denote with a comma. (i.e. blogs, social media, ads, client work, .etc)
Address*
Please enter the address you would like your checks to be mailed to.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which courses from the Success Store would you like to become an affiliate for? Any other questions or comments?
Comments
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