Affiliate Program

Affiliate Application

Affiliates earn a 5% commission on courseware sold. As an affiliate, you will direct medical providers to the Provider Learning Center (PLC) at providerlearning.com so they can purchase web-based, online courseware. The provider is not obligated to buy, but if they do, you will earn 5% of their sale. We invite any organization that has an interest in provider education to apply to become a PLC affiliate - organizations may include Hospital Associations, Medical Associations, Hospital chains, or Associations that represent certain provider types or specialty groups.

To be considered for acceptance to the Affiliate Program, please complete the application below:

Organization Name: *
Contact Person's Name:
Contact's Email Address:
Phone Number: () *
Fax Number: ()
Office Address: *
City: *
Primary State of License: *
Zip Code: *
Preferred Contact Method:
Comments or Questions:

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