Afflliate Program: AMP Floracel - Original MoloCure Formula - Help for UC / IBS Irritable Bowel Syndrome Molo-cure Digestinol

Affiliate Program: (dealer / distributor program here)

To become an affiliate, please fill out the form below:

An affiliate has a website and wants to promote our products on their website. If you have a website and want to promote our products and receive a commission for business you send us, please fill out the form below. If you do not have a website or wish to sell our products through different channels, fill out the dealer program form here.

Note: You can be both, but need a website to be an affiliate.

Your Information: (affiliate program)

Name     *
Company  
Street   *
City     *
State    *
Zip      *
Country  *
URL      *
Note: For an Affiliate, Website URL is required

TaxID    
Once approved, if you do not have a tax ID, 
then we must have a SS# on file.

How to Contact You:

Tel      *
E-mail   *

What other kinds of program(s) are you interested in:

Dealer         Distributor 
Discounts    I am a Doctor

Definition(s):

Dealer: Commitment upfront, minimum per year
Distributor: Larger commitment, minimum per year, create new dealership networks
Affiliate: Receive Commission by sending us a customer from your website link.
Discounts: Save even more beyond our discounted price, quantity discounts on 12 or more bottles.

Enter comments in the space provided below:

For Spam Prevention: Please Select the proper wording from the drop down box below:

If you are interested in becoming a dealer, distributor, affiliate, or getting a quantity discount, please take a moment and fill out our affiliate program acceptance form. You can elect to be a dealer and purchase product and save money, or setup your own dealer network, or just send us business and we will pay you a commission for sending us a customer. After filling out the affiliate form below, or the dealer form here, we will contact you with the amount of discount levels.

Here are the differences between the programs:

Dealer: Commitment upfront, minimum per year
Distributor: Larger commitment, minimum per year, create new dealership networks
Affiliate: Receive Commission by sending us a customer
Discounts: Save even more beyond our discounted price, quantity discounts on 20 or more bottles.