Partner Signup

Fields with an asterisk (*) are mandatory.

General

First Name *

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Last Name *

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Email *

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Email Confirmation *

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Phone Number

Company

Legal Entity Type *

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Full Name & Company name in ( ) *

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Website/Social Media

http(s)://

Address

Address 1 *

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Apartment, Suite, etc.

City *

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Postal Code *

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Country *

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Billing

Payment Method *

Tax ID / VAT or SSN

Additional Information

What is your niche/audience? *

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Active email list size? *

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Active social media following *

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Please provide links to your social media channels!

Do you have an active practice? *

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If so, how many clients do you see weekly?

Do you have a practitioner list or presence?

On which platforms do you plan to promote *

Social Media

Podcast

In person

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What do you want your coupon code to be? *

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What brought you to our Partner Program? *

Someone reached out to me on Social Media!

Someone reached out to me via email!

Chris Kresser or Adapt Naturals Email

Long Time Follower

Adapt Naturals Website

Another Partner

Revolution Health Radio

Other

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If a partner referred you, let us know who!

Are you interested in UGC opportunities with us? *

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Are you interested in whitelisting with us? *

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Which product do you want to try for FREE? *

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Address you'd like your free product sent to

Anything else we should know before reviewing