Affiliate Membership Application

Please provide the following information. After review and acceptance you'll be sent a special 5 second final URL to finalize your affiliate account.

(All fields below are required

Will you need our assistance with placing our affiliate code/cookie and banner ad/logo on your website (and emails), or do you have someone who can do this?

Yes, we will need YourLongTermCareCoach's assistance

Thanks, but we have someone who can do this; just provide us with the code and banner/logo

The Affiliate Partner Agreement, Affiliate Guidelines, and other related documents need to be read carefully before applying, and every affiliate is required to agree to their terms. These documents can can be found on the Affiliate Center page or under "Important Documents" on the previous page.

I have read and agree to the Affiliate Partner Agreement + Guidelines

Your Long Term Care Coach [.com] Affiliate Application

“Earn a 15% commission on our eCoaching products.

Apply below; it's fast and easy."

Please provide the following information. After review and acceptance you'll be sent a special 5 second final URL to finalize your affiliate account.

(All fields below are required

Please know that we won't share your information with anybody. Confidentiality is assured.