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AFFILIATE INFORMATION

Welcome to the Holistic Cannabis Academy Affiliate Program Signup Form with Laura Lagano Wellness.

View and agree with our Affiliate Agreement (Terms of service)

* indicates required

First Name*

Last Name*

Email Address*

Phone Number*

Website URL*

Facebook URL

Instagram URL

Twitter URL

Linkedin URL

Address

Address Line 2

City

State/Province/Region

Postal / Zip Code

Country

Do you currently sell CBD products?* *
Yes
No

If so, which brands?

Why do you want to be an affiliate with us? *

How do you plan on promoting the program?*

1-on-1 interactions
Email marketing
Webinars
Live seminars, workshops, etc
Social media

Which Channels?
Facebook
Instagram
Twitter
Linkedin
Other

Do you Agree with our Affiliate Agreement?
YES
NO

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