HCR Affiliate Form
First Name
*
Last Name
*
Email
*
Phone
*
Company's Name
*
Website
*
facebook link
Instagram Link
Youtube Link
LinkedIn Link
Company Address
*
Please complete and upload below a W8 form and W9 form for compensation. The W8 form link is https://www.irs.gov/pub/irs-pdf/fw8ben.pdf . The W9 form link is https://www.irs.gov/pub/irs-pdf/fw9.pdf
*
Payout Info: Please input Bank Name, Routing & Account Number. You can also include Zelle Payment Data..
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
Submit