Affiliate Application - Wellness Leadership Academy

Wellness Leadership Partners Application

Please fill out the application below. Once we receive your application we’ll send you a welcome email with all the details and your personal affiliate link.

First Name *

Last Name *

Email *

Phone Number *

Street Address *

City *

State *

Postal Code *

Country *

Business Name *

Website Address *

Facebook Page *

What’s your Title/Tag line/or Area of Specialty? *

If you have a free offer, please enter a URL to a landing page you would like to showcase (optional) *

Do you have a history of malpractice or are you involved in any current professional legal action? *

yesno

Kindly enter your details below for the login details that you prefer in our partners portal.

Username *

Password *

Confirm Password *

As a Wellness Leadership Academy Affiliate, I will earn high affiliate commission on everyone I refer to WLA events and anyone who enters a paid program. I will also receive potential partnership and leadership opportunities with WLA (at the discretion of Wellness Leadership Academy).

I’m inspired to get involved in WLA product launches and work together as a team to support the vision of empowering holistic entrepreneurs to become Wellness Leaders. If I can’t be involved for whatever reason in a product launch, or if I choose to discontinue my WLA Affiliate status, I will contact the team immediately.

I Agree to the terms listed above

BizHub Level 2
179 Maroondah Hwy
Ringwood, VIC 3134
Australia

Phone: (03) 9018 7294
E-mail: jv@wellnessleadershipacademy.com