Alternative Adult and Child ADHD Treatment Without Mind or Personality Altering Medication!!!

SignUp

Affiliate Program Application

Signing up for our Affiliate Program will take less than two minutes! And within five minutes of completing this form, we'll send you the username and password you need to access the Affiliate Resource Center and start earning top commissions!

Simply fill out this form with the name and mailing address of the person to whom we should send referral payments earned through this program. (This information is automatically imported into our database; the name you provide here will be what appears on your monthly commission check.)

Please provide the following information:

* indicates required field

*First Name:
*Last Name:
*Street Address:
*City:
*State/Province:
*Postal Code:
*Country:
*Phone:
Fax:
*Email:
*Confirm Email:
	Please double check your email address in the above field, as this is where we will be sending you all of your start-up information.

Tax ID:
*Password :
*Password (confirm):
Website URL:
Website Title:

Website Description:

Please review the Operating Agreement, which describes the terms and conditions of your participation in the Associates Program. Once you have filled out this form and reviewed the agreement, press the "Submit" button to submit your application. If your application to participate in Hope for ADHD Associates Program is accepted, you hereby agree to be bound by the terms and conditions of the operating agreement which you hereby state to have read and understood. It is against your associates agreement to advertise Hope for ADHD via unsolicited email. Some people think that associate's "spam" email originated from us, damaging our reputation and causing us many administrative problems. Hope for ADHD attempts to maintain the highest standards of quality and ethics for Hope for ADHD, its customers and its Affililiates. This includes both common courtesy and acceptable Internet protocols. DO NOT send unsolicited email to promote Hope for ADHD, or you will be in violation of your associate's operating agreement and your account will be terminated, forfeiting all outstanding referral fees. Your cooperation and understanding is appreciated.

You will be contacted within 5 minutes by email with your special assigned URL and easy instructions on how to get everything set up immediately.

If you experience any problems, please email affiliates@hope-for-adhd.com

..............................................................
Young Growing Minds, LLC
215B Rutgers Street, Suite 111A
Maplewood NJ, 07040
Phone: 1-201-839-0127
©2006. Hope-for-ADHD.com All Rights Reserved.
Privacy Policy
..............................................................