Thank you for your interest in becoming a Genies Therapeutics Partner! Once submitted, please allow 48 hours for a response. If more detail is needed we may reach out to you via email within that timeframe.

Register as Affiliate

First Name

Your first name.

Last Name

Your last name.


Your username.


Your primary password, used for logging in.

Account Email

Your primary email, used for logging in.

Street Name

Enter your Street Name

City and State

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Zip Code

Enter your Zip Code

How will you promote us?

Let us know a bit about yourself and how you plan on promoting our products. List website URLs, or social media names.

Payment Email (PayPal)

Your PayPal payment email, to which we will send commission payments. Can be the same as your account email.

Your account will need to be approved before you can earn Referrals. You'll receive an email once it's approved.

If you have any questions about this Certificate of Analysis, please feel free to Contact Us.