Micro Affiliate Registration (Already an affiliate? Login below) Please fill the form below and our team will manually review and approve all affiliate applications. It usually takes from 1 to a maximum of 5 days to review applications and to communicate your approval status. If you do not get an email immediately after registration, please verify your spam folder. We are strong believers in straight-forward and honest communication. For questions please email us at [email protected] or call at 833-MyJane2 (695-2632). Once accepted to the program you will receive a personal login to your affiliate area and you will have access to the marketing material needed to promote your new partnership with MyJane. We are looking forward to have you part of the MyJane micro-affiliate community! Application FormName First Last PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Social media profilesPlease tell us all your social media profilesTwitterFacebookInstagramPinterestLinkedInYouTubeYour website URL (if applicable)Are you familiar with the boxes curated by MyJane?*yesnoHow do you build/plan to build engagement among your community?CAPTCHA I have reviewed online or downloaded and reviewed the Affiliate Influencer Agreement. By clicking submit, I confirm that I will abide by the terms set forth in the Agreement. Log into your account Username Password Remember Me Lost your password? Frequently Asked Questions (FAQ)