Buzzbassador | Application Form

Interested in becoming a heywell brand ambassador? Share your info below and we'll follow-up with you!

Thank you so much for your interest in our brand ambassador program! Complete this form to submit your application. All are welcome to join.

Account

Profile

Survey

First Name

Last Name

Email Address

PayPal Account Email

If you don’t have a PayPal account, create one for free or enter “N/A”

Create Your Referral Code

Choose the promo code you’ll share to give people a discount at our shop.
Note: This code won’t be activated until your application is approved.