Referrals

Enrollees of the Referral Marketing Program will be paid 10% of the cost of membership (minus the cost of payment processing fees). All you have to do is complete the form below to create your affiliate referral link. You will make money simply by sharing information.

We thank you for supporting our organization and the trichology industry.

By checking the box below, I understand the referral program is for soliciting members other than myself. Therefore, I WILL NOT use the code to receive a 10% discount when signing up for my own membership. I also understand I will receive a one-time payment per approved member who uses the referral link. **Please note that this is a limited time program and is subject to change or end at any time without prior notice.** *

I understand the details about the Membership Referral Program

First Name *

Last Name *

Email *

Professional Title *

Phone

Do you want to receive text messages about meeting reminders, appointment confirmations, and notifications? *

Yes, I want to receive text messages for meeting reminders, appointment confirmations, and notifications.

No, I DO NOT want to receive text messages for meeting reminders, appointment confirmations, and notifications

Check below if the phone number you provided is your number on WhatsApp.

Yes, this is my WhatsApp number

Address *

Address 2

City *

State *

Postal code *

Country *

Payouts for the Referral Marketing Program can be paid via Zelle, PayPal, electronic bank transfer via automated clearing house (ACH), or paper check. Please indicate your preferred method of payout below.

Referral Payment Selection *

Zelle (You must already have an account set up)

PayPal (You must already have an account set up)

Electronic Bank Transfer via ACH

Paper Check

Zelle or PayPal Information (you must already have an account)

Routing/ABA Number

Banking Account Number

Type of Account

Business Account

Personal Account

Provide the physical address of where you'd like to receive payment. If it is the same address you provided in the form, write "Same As Above".

Please make sure your bank can receive money in USD.

Referral Payment Information

Thank you for joining APT's Referral Marketing Program!

Check your email for your specific program details and to receive your affiliate link. If you do not readily see a message from us in the email account you provided, check your spam or junk folder. Be sure to identify APT as a safe sender and add us to your contacts.

Referrals

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