Agni Practitioner Partner Program

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We're thrilled that you'd like to join this community of practitioners committed to empowering women to nourish themselves through whole foods during all stages of the reproductive health continuum.

Please enter the information requested below and, if you qualify, we'll follow up with:
(1) Wholesale order confirmation if applicable
(2) $200/year in Agni credit to gift yourself and any clients
(3) Personalized 20% discount code for your use and for your community

Email *

First & Last Name *

Phone Number *

Social Handles *

Please include any/all that you are active on (Instagram, Facebook, TikTok, etc.) Sharing is not a requirement of the Practitioner Program but if you are open to collaborating or being celebrated on Social we would love to connect about this and will follow up separately.

Website (if you maintain one)

Areas of Practice *

Acupuncturist

Ayurvedic Health Counselor or Practitioner

Chiropractor

Doula

Health Coach

Herbalist

Homeopath

Lactation Consultant

Naturopathic Doctor

Nutritionist / Dietician

Medical Doctor

Midwife

OBGYN

Osteopathic Doctor

Pelvic Floor Therapist

Perinatal Yoga Instructor

Reproductive Endocrinologist

Other:

Required

Preferred Text for 20% Off Discount Code *

Example: Your name or the name of your practice + "20".

Could you please share 1-2 sentences with us about why you're excited to join Agni's Practitioner Program? *

Would you like to place an initial wholesale order? If yes, please list items and quantities below as well as the address you'd like these to ship to.

Please use our website to access available products. Wholesale rates are as follows: All cookies: MSRP: $18 / Wholesale: $10.90 All seasonings: MRSP: $16 / Wholesale: $8.90 All teas: MSRP: $16 / Wholesale: $9.90. MOQ: 24 items total.

Shipping Address for Wholesale Order (if applicable)

We will send an invoice confirming details for your approval before shipping :)

Commitment

In completing this form, I ...

(1) commit to supporting my clients in nourishing themselves deeply for the stage of life they are experiencing. I know that with every individual that is deeply nourished, we co-create a more compassionate, aware, and awake world that supports the health of people and the planet.

(2) confirm that I am a practitioner licensed to practice the disciplines indicated above and reside in the US > 6 months per year and serve a client base that primarily lives in the US.

Commitment Confirmation: *

Yes

Required

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