Register as CofixRX Affiliate

First Name

Your first name.

Last Name

Your last name.

Best Phone Number

Username

Your username.

Password

Your primary password, used for logging in.

Account Email

Your primary email, used for logging in.

Payment Email (PayPal)

Your PayPal payment email, to which we will send commission payments. Can be the same as your account email.

How will you promote CofixRX Products?

Let us know a bit about yourself and how you plan on promoting our products.

Your account will be automatically Approved, and you can start earning Referrals immediately.