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NUTRITIONAL INSTITUTE™ STUDENT FORMULA™
Affiliate Program Application

Why become a Nutritional Institute LLC, STUDENT FORMULA™ Affiliate?

Nutritional Institute's experienced team of professional doctors, biochemists, nutritionists and naturopaths have produced over 100 natural health products. Each product is reviewed by this team of nutritional experts to ensure the highest safety, quality and efficacy standards.

<% 'EMAIL AFFILIATE Dim varSiteURL, varFirstName, varLastName, varPayable, varCompany, varAddress, varCity, varState, varZip, varCountry, varPhone, varEmail, varSpam, varCertify, varSend, thisPage varSiteURL = Request.Form("txtSiteURL") varFirstName = Request.Form("txtFirstName") varLastName = Request.Form("txtLastName") varPayable = Request.Form("txtPayable") varCompany = Request.Form("txtCompany") varAddress = Request.Form("txtAddress") varCity = Request.Form("txtCity") varState = Request.Form("txtState") varZip = Request.Form("txtZip") varCountry = Request.Form("txtCountry") varPhone = Request.Form("txtPhone") varEmail = Request.Form("txtEmail") varSpam = Request.Form("chkSpam") varCertify = Request.Form("chkCertify") varSend = Request.Form("send") thisPage = Request.ServerVariables("Affiliate_Request") If not varSend = 1 Then 'OUTPUT THE CONTACT FORM %>

Describe your website:
Site URL:

PAYEE - Please enter contact information for the person or company who will be receiving payments from us for this program.
First Name:
Last Name:
Checks Payable To:
Company:
Address:
City:
State:
Zip:
Country:
Phone:
Email:

I understand that I may not promote these products/services or this Affiliate Program by sending unsolicited mailings (SPAM).
NOTE: We currently ship perishable products only to addresses within the United States. Non-perishable orders can be shipped overseas at additional cost.
I certify that the above information is true and that I have read and agree to the terms of the Affiliate Agreement. (pdf)

<% Else 'SEND MAIL AND OUTPUT THANK YOU RESPONSE 'REPLACE LINE RETURNS WITH HTML BREAKS varComments = Replace(varComments, chr(10), "
") 'THE MAIL OBJECT Dim ObjMail Set ObjMail = Server.CreateObject("CDO.Message") Set objConfig = CreateObject("CDO.Configuration") 'Configuration: objConfig.Fields(cdoSendUsingMethod) = cdoSendUsingPort objConfig.Fields(cdoSMTPServer) = "localhost" objConfig.Fields(cdoSMTPServerPort) = 25 objConfig.Fields(cdoSMTPAuthenticate) = cdoBasic 'Update configuration objConfig.Fields.Update Set objMail.Configuration = objConfig objMail.From = varName & " <" & varEmail & ">" objMail.To = "lindas@studentformula.com" 'Add your email address objMail.Subject = "Affiliate Request" objMail.BodyPart.ContentTransferEncoding = "quoted-printable" objMail.HTMLBody = "

Affiliate Request

"_ & VBCrLf & "Website URL:"_ & VBCrLf & varSiteURL & "
"_ & VBCrLf & "Requestor's First Name:"_ & VBCrLf & varFirstName & "
"_ & VBCrLf & "Requestor's Last Name:"_ & VBCrLf & varLastName & "
"_ & VBCrLf & "Make Checks Payable To:"_ & VBCrLf & varPayable & "
"_ & VBCrLf & "Company:"_ & VBCrLf & varCompany & "
"_ & VBCrLf & "Street Address:"_ & VBCrLf & varAddress & "
"_ & VBCrLf & "City/State/Zip/Country:"_ & VBCrLf & varCity & ", "_ & VBCrLf & varState & ", "_ & VBCrLf & varZip & ", "_ & VBCrLf & varCountry & "
"_ & VBCrLf & "Phone Number:"_ & VBCrLf & varPhone & "
"_ & VBCrLf & "E-Mail Address:"_ & VBCrLf & varEmail & "
"_ & VBCrLf & "I Understand the spam policy:"_ & VBCrLf & varSpam & "
"_ & VBCrLf & "I certify I have read the Affiliate Agreement:"_ & VBCrLf & varCertify & "
" objMail.Send Set objMail = Nothing Set objConfig = Nothing 'AND OUTPUT THANK YOU Response.redirect "confirmed.htm" ' Any existing page can be used for the response redirect method End If %>


	Complete Terms and Conditions

Copyright 2005 Nutritional Institute, LLC.All rights reserved. This content may be copied in full, with copyright, contact, creation and information intact, without specific permission, when used only in a not-for-profit format. If any other use is desired, permission in writing from Nutritional Institute, LLC. is required

Disclaimer: The entire contents of this website are based upon the opinions of Nutritional Institute, LLC., unless otherwise noted. Individual articles are based upon the opinions of the respective author, who retains copyright as marked. The information on this website is not intended to replace a one on one relationship with a qualified health care professional and is not intended as medical advice. Nutritional Institute, LLC. encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. Nutritional Institutes, LLC. nutritional supplements are not intended for the cure or mitigation of any disease process. They are, instead, nutritional factors which may help the body cope with various health related conditions. For health problems, please consult your medical doctor or health care practitioner.