Affiliate Area

Name

Username (required)

Account Email (required)

PayPal Email (required)

Password (required)

Confirm Password (required)

Why do you want to be an affiliate with Fringe? (required)

What is your profession? (required)

Please share your social media followers, email list size, podcast downloads, or client/patient base size. (required)

How did you hear about Fringe? (required)

Which Fringe products do you have experience with / are interested in promoting? (select all that apply)
Red Light Therapy Wraps & Panel Supplements: Electrolytes & Magnesium Light Therapy Pelvic Wand Light Therapy Face Mask

Please share your: social media handles and website URL: (required)

How/where will you promote us? (required)

What is the best email where we can reach you?