Affiliate Organization Application Organization Affiliate Application: Please enable JavaScript in your browser to complete this form.Personal DetailsName *FirstLastYour Organization *EIN / Tax Code: *Your Position *Email *Phone *Organization Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePayout DetailsDo you prefer PayPal payouts or a paper check in the mail ?Multiple Choice *PayPalSnail MailPayPal EmailEmailConfirm EmailYour Website URL: *How do you plan to market courses and products from Lemons-Aid Education? *I have read and agree to the "Affiliate Program Terms & Conditions" and the "Privacy Policy." I understand that these terms can change and that my status as an affiliate can be canceled for any reason. *I agreeClick to read the Terms and Conditions Click to read the Privacy Policy Custom Captcha * = Submit
