If you're interested in becoming a Jim Healthy affiliate or joint venture partner, please send an email to with all of the following information. We will review your application and be in touch as soon as possible. Thank you for your interest!
Company Name
First Name, Last Name
Address 1 (City, State, Zipcode)
Address 2 (City, State, Zipcode)
Website address:
Monthly Average Unique Visitors:
Promotional media: (Website, Newsletter, Email, Other)
Size of list, if applicable:
Category or Categories (Automotive, Health/Medical, Alternative Health,
Employment...List all that apply)

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