ACCOUNT INFORMATION

* First Name:		* Last Name:

Company:

* Address 1:

Address 2 :

*City:

* State/Province/Region :		* Zip/Postal Code:

*Country:

Date of birth:

Phone:

*Email:

*Confirm Email:

*Password:

*Confirm Password:

PAYMENT INFORMATION

*SSN or Tax ID (For US Affiliate Only) :

* PayPal Email:

(We will send your commission payments to this PayPal account. )

SITE INFORMATION

Web Site name:

Web site URL:

Describe your web site or marketing strategy :

How do you plan to market our products? :

Pay per click
Pay per acquisition
Web site
Search engine optimization
Ad network / Banner network
Adware / Browser Plug-in
Blog
Other

AFFILIATE PROGRAM AGREEMENT

As an Affiliate, you agree to abide by a “Code of Conduct” that in no way defames or damages the Company’s reputation or the Company itself.  Behaviors include but are not limited to: conduct unbecoming of an Affiliate; negative statements against the company; actions against the best interest of the Company; and illegal or immoral activities performed by the Affiliate.
You agree that as a Regal Supplement Independent Consultant, you are an independent contractor, and not an employee, agent, partner, legal representative, or franchise of Regal Supplements.  This is not a job offer. You are in business for yourself, but not by yourself. You are responsible for all taxes in your region as an independent contractor. We handle all the website programming, ordering, shipping, everything - just get people to your Regal Supplement Affiliate site. 

Please note: Commissions are not payable on your own purchases. Your purchase is a commissionable sale to your referring affiliate. A qualifying commissionable sale is a sale to a person outside of your household.

I agree to be bound by the above Terms & Conditions