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* HiddenAccount 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 Number Cheque Payable To Address Street Address Address Line 2 City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code