Affiliate Application

Please fill out this form to complete your application.

Name*
First Last
Position Title*
Email*
This will be the email address associated with your affiliate account, and to which communications will be sent.
Enter Email Confirm Email
Organization Name*
Phone
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How should we pay you?*
Select the method Real Life Catholic should use to pay you commission payments.
- PayPal
- ACH (Auto-deposit)
- Check
ACH Payment Bank Routing Number*
ACH Payment Bank Account Number*
PayPal Email Address*
The address you will use to collect PayPal payments.
Payable To The Order Of*
How many membership signups do you reasonably expect?*
Enter the number of people you expect to purchase memberships through your affiliate relationship. We understand this is just an estimate.
Affiliate Agreement Consent*
I confirm that I have read, understand, acknowledge, and accept the terms of the Affiliate Agreement and I agree to be bound by them.
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