Affiliate Program Application

This is the Affiliate Application for receiving commissions for selling Lisa M Pepe’s Well-Weight-Wisdom Programs.
Please fill out the Application below and allow up to 5 business days for a response.
We will do our best to get back to you as soon as possible.
If you have not heard from us after 5 business days, please reach out to us on the CONTACT page of this website.
Thank you for your interest in sharing my programs with others!

Please Fill in The Following and Submit:

7 + 1 =

 Form Fill Instructions:

 Please fill in your first and last name

 Your Social Security Number or Employer Identification Number is Required for Tax purposes.  You can opt to give this on the W-9 form once your Application is accepted.

Two E-Mails are required if your contact address is different from your PayPal E-Mail Address.  A PayPal account and E-Mail address is required for payment.

Fill in your best contact phone #

Fill in your complete mailing address

Become a Lisa M Pepe Well-Weight-Wisdom Affiliate

A Company name is not required but if you have one,
please put it on the form

A Website Address is also not required,
but please put if you have one

Please list the ways in which you plan to sell the programs.
On a Website
By E-Mail
Social Media Posts
A Blog
Newsletter
On-Line Advertising
In Person

Tell me a little about yourself, your company and why you are interested in selling my programs.  All additional comments or questions can go here as well.  Thank You again for applying!

By submitting this form, you agree to the Affiliate Program Terms

Disclaimer Summary: The links on this site may be affiliate links and I may make a small commission if you make a purchase. I only recommend things I truly love and believe in, however, please read all terms and conditions to determine if right for you. The information provided on this site, by Lisa M Pepe and in programs offered are for informational purposes and protocols are not intended as a substitute for advice from your health care professional. Do not use the information provided as a diagnosis/treatment for any health issues or as a substitution for any medications. Consult with a healthcare professional before starting any diet, exercise or supplementation program. Do not stop taking any medication without consulting your physician. Products featured or recommended are not intended to diagnose, treat, cure, or prevent any disease and should not be used to do so. Users assume risk and responsibilities and results are not guaranteed. At times this site or third party sites you click through to may use cookies or request your name and email address. We do not sell or share your personal information with other parties. You agree to terms upon purchase. Please refer to this website's All Terms Page

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