Ambassador Program Application

6900 Kingspointe Pkwy
Orlando FL 32819
USA

Mon. - Fri. 9:00am - 6:00pm ET

Thank you for applying!

Our team will review your application and get back to you within 1–2 weeks.

*Required field

YOUR NAME*

EMAIL*

PHONE NUMBER*

ZIP CODE

STATE

INSTAGRAM HANDLE*

Website and social links

Please list your website url or any additional social links separated by commas.

ARE YOU A PRACTITIONER? * Yes No

If yes, list all credentials, licenses, and certifications *

Please include any registrations or in-progress credentials as well.

ARE YOU WILLING TO COMPLY WITH FTC/FDA GUIDELINES? * Yes No

Why do you want to join? *

HOW would you describe your reach and community? *

Please include any relevant information about your followers, clients, or email lists.

IS THERE ANYTHING ELSE YOU WOULD LIKE US TO KNOW?

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