IWHI Affiliate Application for our Professional Level Programs Please enter your information for affiliate account set up First Name * Last Name * Email * Company * Billing Street Address 1 * Billing Street Address 2 Billing City * Billing State * Billing Postal Code * Website * Best Phone Number * PayPal Email * TaxId/SSN * Which types of traffic sources do you plan to use? * Username * Password * Confirm Password * Notify on Lead Yes No Notify on Sale Yes No Which of our programs would you like to promote? Please select all the programs you are interested in promoting and we will set you up with an affiliate link for the programs you select. Functional Nutrition for Chronic Pelvic Pain Female Athlete Wellness Program Hormones 101 Optimal Fertility Program Women's Health Coaching Certification Program (3-Steps) Submit Application