Become An Affiliate | RogersHood Apothecary

Name*

First Last

Email*

Enter Email Confirm Email

Username*

Password

Enter Password Confirm Password

Phone*

PayPal Email*

This is how we will send you the referral commissions.

How did you hear about RogersHood?*

Referred by

If you were referred by someone, we’d love to know!

Did you have Kim as a guest on your podcast? (Skip if not applicable)

Yes

No

This will not affect your eligibility to become an Ambassador.

Are you:*

A Practitioner (all licensed practitioners with a place of business)

An In-Person Ambassador (stores, personal coaches, place of business where 10 or more kits are purchased and placed for sale)

None of the above

Website*

Your Social Media

Social Media*

Please select at least one.

Facebook

Instagram

TikTok

Twitter

YouTube

Facebook Profile / Page / Group URL*

Instagram Profile URL*

TikTok Profile URL*

Twitter Profile URL*

Youtube Channel URL*

Website

Your Coupon Code

Your coupon code will be automatically generated based on your username. If you would like a specific coupon code, please enter it below.

Your Complimentary ParaFy Kit

Please note that your kit will be processed within 2-4 weeks before shipping.

Do you need the nut-free version of the ParaFy Kit?*

Yes

No

Your Shipping Address for a Complimentary ParaFy Kit*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Customs and Duties*

I accept responsibilities for any custom’s duties and fees on my gift order

Become a RogersHood Ambassador

Share Wellness. Inspire Others. Make an Impact.

As a RogersHood Ambassador, you’ll receive:

Ambassador Requirements

Your Social Media

Your Complimentary ParaFy Kit