Capstone Health - Affiliate Program

Join our affiliate program and start earning money for every sale you send our way!Simply create your account, place your linking code into your website and watch your account balance grow as your visitors become our customers.

Create Your Account

Username *

Password *

Password Again *

Standard Information

Email Address *

Company Name *

Checks Payable To *

Website Address *

Tax ID, SSN or VAT *

Personal Information

First Name *

Last Name *

Street Address *

Additional Address

City *

State or Province *

Phone Number *

Zip Code *

Country *

Commission Payment

How should we pay you? *

Paypal Email *

Stripe Account Details

You can connect to your stripe account from account settings page after signup.

User Defined Fields