Affiliate Signup Form Please allow 2-3 business days after completing this form to have your affiliate account activated Need assistance? Send a message to webmaster@yogaville.org. Name* First Last Phone*Email* Would you like to be notified by email of affiliate opportunities and updates?* Yes please! No thanks Are you in the United States?* Yes No Affiliates outside the US will be paid through PayPal to the email you enter aboveMailing Address*Your affiliate payments will be sent by check to this address - Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment Agreement* I agree to the payment agreementI understand that payouts will be sent either by Paypal for International affiliates or by Check for United States Affiliates.How did you hear about the Yogaville affiliate program?* Have you attended a program at Yogaville?*selectYesNoDo you run an Integral Yoga center?*selectYesNoWhat is the name of your center?* How will you be promoting Yogaville Programs?CAPTCHA