Magi Ancestral Supplements Engagement Application for Practitioners
Please complete this intake form to be considered for our affiliate program.
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Email *
What is your name? *
What is your business name?
If you are applying to be an affiliate as a practitioner, which one of the following presents your practice:
What training, degree, or experience do you hold related to your practice? *
Which city are you based at? *
Please enter your website and/or social media handles: *
Tell us about your background: *
What makes Magi Ancestral Supplements products a good fit for your practice? *
Which products are an especially good fit for you? *
Required
Why? *
Would you like to test our products in the format of 30% discounted trial packs? (Note: Haoma Revelation Aid is not available in trial size) *
How many clients per month do you currently have? *
Would you be interested to help our protocols development trials with your clients? *
Would you be interested to participate in our research and trials? *
What support do you need from us to be successful?
Would you be interested in exploring Magi's affiliate program if we find alignments? *
Would you be interested in any of these collaborations? *
Required
Other questions/comments?
A copy of your responses will be emailed to the address you provided.
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