Recommending Professionals Program

Recommending Professionals Program Registration

Name*
Prefix First Last Suffix
Email*
Username*
Please create a username for login and affiliate tracking purposes. Please use your first and last name without spaces. Example: janedoe
Licensed Professionals
You may have a license AND a certification for different professions, so we offer both. If you have a certification but not a license, please select "not applicable" in the dropdown here and proceed to the certification section.
Please select your profession from the list below.*
Please describe your profession.
License*
Certified Professionals
If you have a license and no certification, please use the license field above and select "not applicable" on the list here.
Please select your profession from the following list.*
Please enter the profession that best describes you.
Certification Number*
Additional Information
Please provide any additional information to help us expedite your submission. Thank you.
Website - if you have one please include this
If you are hesitating because you have multiple websites please use the additional website entry just below, and you can add more in the questions and comments box below
Second Website or Social Media Link
Phone Number*
Zipcode*
Please enter the zip code for your primary place of business.
Preferred hours and days of week to contact you*
Do you have a PayPal account?*
PayPal accounts are paid monthly, if you can only accept checks, your payment will be quarterly.
- Yes
- No
PayPal Email*
Please enter your PayPal email address so that we can send your affiliate referral commissions to your account.
Please enter any additional comments or questions here.
Password*
Please create a password to login to your Affiliate area.
Enter Password Confirm Password

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Name
This field is for validation purposes and should be left unchanged.