Source Wellness®Brand Ambassodor Please tell us about yourself! We will come back to you within 72 hours.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneInstagram Handle (Must be public) *YouTube Handle (If applicable)TikTok Handle (If applicable)What do you love about Source Wellness® products? *What is your favorite function in Source Wellness®? *How did you hear about us? *What are some of your health/wellness goals? *Mailing Address (For promos, freebies + other fun stuff!) *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryWhy should we choose you to represent Source Wellness®?What other brands are you passionate about supporting? Brand Ambassador Terms and Conditions *I AgreeI DisagreeBefore promoting, please be aware of the following regulations: As a brand ambassador, you will endeavour to conduct yourself in a manner so as to present a professional and high quality promotion and image of the Source Wellness® brand and must not bring into disrepute or otherwise damage the name or image of Source Wellness® or any of the Source Wellness® products. Brand ambassadors may not run ads on Google Adwords (or any Google property), bid on “Source Wellness®” based keywords, use the terms “Source Wellness®” in any pay-per-click ads, use any terminology in ads or landing pages that are similar to “scam” or “fraud,” or create customer incentives for purchasing Source Wellness® (e.g. cash rebates or 3rd party bonus offers). Brand ambassadors may not buy products using their 10% discount code to sell or give away products. This discount is entirely for the brand ambassadors use only to promote Source Wellness®on social media. They must keep the discount code private and not let it be used by any other person, friend or family member. You will not be paid a commission on your own purchases. Brand ambassadors are forbidden from creating web pages, social media pages, or accounts that falsely represent themselves as the creators or owners of the Source Wellness® products. Any review page and all creative contained therein must include the word ‘REVIEW’ in the title, the URL, and any graphics used in the cover image or profile image. This includes blogs, web pages, Facebook, Twitter, YouTube or ANY OTHER online entity whether or not it is considered to be “social media”. Brand ambassadors must not post discount codes to coupon websites such as RetailMeNot or any other discount coupon indexing site. This includes SEO ranking a personal discount page that is not a true review of the products. By being accepted into the program you assign Source Wellness® lifetime copyright permission, without payment, to use any image, video or post you publicly create to promote the Source Wellness® brand. Any ambassador caught breaking any of these terms will be banned immediately without hesitation, and will not be eligible for reinstatement or any future payment. Submit