Register as Affiliate

First Name

Last Name

Username

Your username.

Password

Your primary password, used for logging in.

Account Email

Your primary email, used for logging in.

Payment Email (PayPal)

Your PayPal payment email, to which we will send commission payments. Can be the same as your account email.

Website/ Social page/ Youtube URL

What describe you best?
How will you promote HealthDevice.com?

Which of the following marketing channels you plan to use (check all that apply)?
What is your monthly average website traffic (visitors)?

Your account will need to be approved before you can earn Referrals. You'll receive an email once it's approved.