Affiliate & Agency Partner Application

Affiliate Application

Fill out the following form to apply to join our affiliate or Agency Partner programs. If you have an Accessibility Checker Pro account, please log in before submitting this application.

Name*
First Last
Would you like to join our Agency Partner program?*
In addition to receiving a 20% affiliate commission on all referrals, verified agencies in our Agency Partner Program receive a 20% discount on Rapid Audits. This enables agencies to purchase audits on behalf of their clients and markup the audits as desired.
- Yes, I am applying for an agency.
- No, I'm only interested in the affiliate program.
Agency/Business Name*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
EIN*
VAT*
Website URL*
Enter the URL of your website (include http:// or https://) for the website where to plan to promote our products.
Username*
You'll use this to log into our site and it will also be publically visible in the referral URLs you'll share.
Account Email*
Enter the email address you would like connected to your account on our website.
Payment Email
If different from your account email, enter the email you use for PayPal (so we can pay you).
How will you promote us?*
Please share any relevant information about how you plan to promote Equalize Digital and Accessibility Checker. Please be as specific as possible.
Social media URLs
Please provide links to your existing social media accounts or any social media accounts where you plan to promote us.
Do you have an active Accessibility Checker Pro license?*
- Yes
- No
Terms of Use*
- I have read and agree to the affiliate terms and conditions
Email
This field is for validation purposes and should be left unchanged.

Affiliate Application

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Affiliate Application

Free Accessibility Help

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