Affiliate Contracting Step 1 of 3 0% Affiliate InformationIs the affiliate contracting in name of a business or individual?*BusinessIndividualBusiness NameTax ID*Name First Last Social Security Number*PhoneEmail Address 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 Direct DepositCommissions are paid by direct deposit. Please provide the account that you wish direct deposit to be paid to.Account NameBankRouting Number*Account Number*Agreement*Direct deposit of your compensation including bonuses, commissions and fees will be paid to the account indicated until you change the account in writing. I agree to allow Planstin to deposit compensation into the account indicated. Name*Signature* Agreement & CompletionAgreement*Planstin Administration Inc will pay compensation to contracted party based on services performed by contracted party known as a contractor. Contractor agrees to provide basic services including communications with client. Contractor will be paid using the following schedule. Compensation I agree to the terms of service and compensation Name*Signature*Optional - Add Zion Health Direct AgreementBy checking the box below you are accepting the Zion Health independent affiliate agreement. Zion Health allows individual members to join the Zion Health community. Affiliates are paid directly by Zion Health for Zion Health Direct Memberships affiliate business. See full agreement. I accept the terms of the Zion Health Independent Affiliate Agreement.