Affiliate Partner Signup Form Fill out the form below to become a Love Your Centre partner and receive commission on every referral you send our way. "*" indicates required fields Company Name*Email* This field is hidden when viewing the formAccount Type* Basic premium Telephone*Service(s) of Interest*In Home Carpet & Upholstery CleaningIn-Home Duct CleaningArea Rug CleaningLogo Drop files here or Select files Accepted file types: jpg, svg, png, heic, Max. file size: 5 MB, Max. files: 1. Payment Details Please provide your bank details where we will deposit your referral commissionUpload Void Cheque Drop files here or Select files Accepted file types: jpg, svg, png, heic, Max. file size: 5 MB, Max. files: 1. HST NumberCheque Payable ToAddress Street Address Address Line 2 City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Never miss our latest vouchers and big sales events Never miss our latest vouchers and big sales events