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Thank you for your interest in VitalityXchange Collective

If you're in a products-based business in the Wellness Industry or you provide services to supports the Wellness Industry, we would love to know more about you as a potential affiliate for our Vitality Partner Program.

Interested in learning more. Please fill in this brief survey and someone from our team will contact you directly to discuss options.

Full Name

Email *

Phone *

Tell us more about your business.

Organization Name *

Number of Employees *

1 - 10

10 - 199

200 - 499

500+

What type of service does your company offer? *

Brief description of your business *

Elevate your practice, broaden your network, and achieve your business goals with VitalityXchange.

What are your current business priorities? *

Drive more sales

Get marketing support

Build your community

Increase brand awareness

Be seen as an industry leader

Get business service support

Other

Please select all that apply.

Please provide your website and social media tags.

Website
Instagram
Facebook
TikTok
YouTube
Other Social Media

What are your preferred methods of contact? *

Please select best answers.

Text
Email
Phone Call
WhatsApp
Direct Message Instagram
Telegram X
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How did you hear about the VitalityXchange Collective? *

Did anyone refer you to the VitalityXchange Collective?

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Full Name

Email *

Phone *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Terms & Conditions