Become a Ground Level Distribution Affiliate

Your Feet on the Ground Can Help You
Raise Funds for Your Organization

Apply now to join the Ground Level Distribution Affiliate Program and give your fund raising efforts a boost. We simplify fundraising by providing superior customer service, secure shopping and fast delivery times. You will be provided with a special link to a customized landing page where you can begin earning a percentage of sales from the Ground Level website.

We specialize in assisting HBCU organizations raise funds for athletics, academics, research, and more. Monthly reports and payouts are issued to each college/university with breakdowns by organization for distribution of funds. Individuals and non-HBCU organizations may also apply to our Affiliate Program to raise funds. 

Please fill out the following form to express your interest in becoming a Ground Level Distribution Affiliate. One of our Support Team members will contact you directly to facilitate your application.

* Required

College/University/Organization Information * -- Please select -- Alabama A&M University Alabama State University Albany State University Alcorn State University Allen University Arkansas Baptist College Barber-Scotia College Benedict College Bennett College Bethune-Cookman College Bishop State Community College Bluefield State College Bowie State University Central State University Cheyney University of Pennsylvania Claflin University Clark Atlanta University Clinton Junior College Coahoma Community College Concordia College Selma Coppin State College Delaware State University Denmark Technical College Dillard University of Louisiana Edward Waters College Elizabeth City State University Fayetteville State University Fisk University Florida A&M University Florida Memorial University Fort Valley State University Gadsden State CC - Valley Street Grambling State University Hampton University Harris-Stowe State University Hinds CC - Utica Howard University Huston-Tillotson University Interdenominational Theological Center J.F. Drake State Technical College Jackson State University Jarvis Christian College Johnson C. Smith University Kentucky State University Knoxville College Lane College Langston University Lawson State Community College Lemoyne-Owen College Lewis College of Business Lincoln University - Missouri Lincoln University - Pennsylvania Livingstone College Meharry Medical College Miles College Mississippi Valley State University Morehouse College Morehouse School of Medicine Morgan State University Morris Brown College Morris College Norfolk State University North Carolina A&T State University North Carolina Central University Oakwood University Paine College Paul Quinn College Philander Smith College Prairie View A&M University Rust College Savannah State University Selma University Shaw University Shelton State CC - C.A. Fredd Shorter College South Carolina State University Southern University A&M College Southern University at New Orleans Southern University at Shreveport Southwestern Christian College Spelman College St. Augustine's College St. Paul's College St. Philip's College Stillman College Talladega College Tennessee State University Texas College Texas Southern University Tougaloo College Trenholm State Technical College Tuskegee University University of Arkansas at Pine Bluff University of the District of Columbia University of Maryland Eastern Shore University of the Virgin Islands Virginia State University Virginia Union University Virginia University of Lynchburg Voorhees College West Virginia State University Wilberforce University Wiley College Winston-Salem State University Xavier University Other		If not listed, name of "Other" Organization
Suborganization/Group/Club Name* (type NONE if not applicable)		Website Address *
Mailing Address *		City *
State/Province *	Zipcode/Postcode *	Country * -- Select Country -- AFGHANISTAN ALAND ISLANDS ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CâTE D'IVOIRE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TIMOR-LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE
Authorized Representative Contact Information:
Title DR MISS MR MRS MS	First Name *	Last Name *
	Work Phone Number *	Email Address *
	Home Phone Number	Cell Phone Number
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