Affiliate Registration Want to become a CMT affiliate? It is easy, and we just need some information to get you going. Please fill out the below form and you will be notified of your affiliation approval via email. Thanks for being a loyal CMT partner! Name* First Last Email* Username* Password* Enter Password Confirm Password Strength indicator Your Website What products would you like to feature on your landing page?Check off as many of the products below that you would like featured on your affiliate page. If a product is not listed here, please add it in the section below. Elvie Pathway Vaginal Sensor (PG-6330) Pathway Rectal Sensor (PG-6340) Pathway Combo sEMG Sensor (PG-6320) Dilators (Specify Brand(s) Below) Serenity-V Vaginal PF Massage tool Serenity-R Rectal PF Massage tool Vaginal Weights (Specify Brand Below) SI Belt (Specify Brand(s) Below) Lubricant (Specify Brand(s) Below) Anorectal Balloon Catheters Squatty Potty What other products, carried by CMT and not listed above, would you like to add to your Affiliate Page? What other products, not currently carried by CMT, would you to see added to CMT's product line? Company or Name for your landing page*Please enter it as you'd like it to appear on your personal landing page.Upload your logoPlease add a logo for your landing page. No larger than 200 pixels tall, JPG, PNG and GIF files only, max of 2MB.Accepted file types: jpg, gif, png.Add a short description of your company for your landing pagePayPal Payment Email Address* Please add your PayPal email address. You must have a PayPal account to receive payment.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.