Affiliate Partner Application Please enable JavaScript in your browser to complete this form.First Name *Last Name *Phone *Year of Birth *Once accepted as an Affiliate Partner, your 7-digit Coupon Code will start with your INITIALS (the first letter of your first name and the first letter of your last name), followed by the LAST FOUR numbers in your phone number, followed by the LAST digit in your year of birth. Please input this 7-digit code below (without dashes or breaks). E.g. if John Smith's phone number is 555-1212 and he was born in 1993, his Coupon Code would be JS12123. *Email *To issue payments, we'll need the email address associated with your PayPal account. Do not apply without a PayPal account. *How many FaceBook friends do you have? *How many Instagram followers do you have? * birth. letter not Have you attended Circle of Wishes or received a consulation from Psychic Ralph?YesNoIf your application is accepted, you'll receive a confirmation email from Circle of Wishes. Please do not promote Circle of Wishes or post your Coupon Code until you receive this email. *I agree..Do you agree with the Affiliate Terms outlined at: https://psychicralph.com/affiliate/#affiliate *YesSubmit