Hello and thank you for your interest in helping us spread the word about BrainSpeak Transformational Programs!

As you can see, we are still in the beta phase of setting up our affiliate program but rest assured that all back-end accounting is fully functional. Since this program is by invitation only, we assume that you have some experience with affiliate marketing. If you need assistance, please contact us at: affiliate@brainspeak.com and we will make sure that you have all the help you need to be successful.

Please complete the form below and we will contact you with details on how to access your affiliate dashboard. If you are a non-US applicant, please email us at affiliate@brainspeak.com and we will set you up manually.

BrainSpeak Affiliate Program Application

First Name *
Last Name *
Email *
Phone 1*
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Affiliate Account Setup
Create Username *
Create Password *
Retype Password *
Notify On Lead
Yes No
Notify On Sale
Yes No

Thanks For Your Feedback!