Tell Me About You
This short form is simply used to gather information. It is not a binding contract rather an informal way to get to know your needs before we chat. You will receive a response from someone on our team within 24 - 48 hours to get your questions answered, help you enroll and become commission qualified the same day.
First & Last Name
Who Referred You to This Page? If no one say 'no one' below.
Phone Number ( We will send you a text w/in 24 hrs)
Instagram or Social Handle (so we know you're a real human)
Are You Ready to Partner With The Modere Brand and Qualify For Commissions?
Not quite (I want to try the products first or chat more )
What's Your Experience With Modere (select all that apply)
I've Visited The Website
I've Never Tried The Products
I've Researched The Products But Would Like More Detailed Information
I've Been Using The Products Already & I'm Ready To Promote
I've Seen Others Promote & I Would Like To Do The Same
Which Products Are You Most Interested In Promoting? (select all that apply)
Liquid Biocell (Collagen)
Trim (Collagen + Fat Loss)
Do You Understand How To Promote the Product? (See Above).
No - I Will Need Some Guidance (Don't worry we got you!)
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