Affiliate Programme | Global Medical Cover

We work with individuals, companies, communities, and content creators who refer customers to Global Medical Cover. If you're interested in becoming an affiliate, complete the form below and we'll be in touch.

Register your interest

I am registering as *

Your details

First name *

Last name *

Email address *

WhatsApp number *

I don't use WhatsApp

Preferred contact method

Signal Telegram Phone only

Your online presence

Website (if applicable)

Social media accounts (if applicable)

Company details

Company name *

Website *

Location / headquarters *

Areas of operation *

Brief overview of what your company does *

Contact person

First name *

Last name *

Job title (optional)

Email address *

WhatsApp number *

I don't use WhatsApp

Preferred contact method

Signal Telegram Phone only

Community details

Community name *

Type of community *

Website or social media (if applicable)

Brief description of your community *

Your contact details

First name *

Last name *

Email address *

WhatsApp number *

I don't use WhatsApp

Preferred contact method

Signal Telegram Phone only

Your details

First name *

Last name *

Email address *

WhatsApp number *

I don't use WhatsApp

Preferred contact method

Signal Telegram Phone only

Your online persona

Online name / handle (if different from your name)

Website *

Social media accounts *

Primary audience - who do you create for? *

Tell us about yourself

Please describe who you are and how you'd refer customers *

Email address *

First name *

Last name *

A few more questions

How do you plan to refer customers? (optional)

How did you hear about us? (optional)

Anything else you'd like us to know? (optional)

Thank you - we'll be in touch.
We'll review your details and come back to you with information about the programme. Keep an eye on your inbox.

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Register your interest