Page 1 of 1

Longevity Marketplace | Invitation-Only Provider Onboarding

Only a select few are invited to shape the future of human performance, regeneration, and wellbeing.

You’ve been invited to submit your details as a potential partner in our curated longevity marketplace.
We accept new providers strictly by —each submission is personally reviewed for alignment with our values: scientific integrity, exceptional quality, and conscious innovation.

If you’ve received this form, it means someone in our network believes in the caliber of your work. Please complete the fields below to begin your review process. Acceptance is not guaranteed.


BASIC BUSINESS INFORMATION

Company Name

Email

Phone Number

Website

Business Socials

List of Services

Company Registration Number / UEN

Country & City of Operation

Years of Operation


Business Type

Service / Product Categories

Service / Product Categories

Certifications & Compliance

Medical or Practitioner License


Upload relevant certificates or documents

As part of onboarding to our longevity marketplace, could you share your exclusive partner rate or preferred pricing you'd be willing to extend to us for platform listings or collaborations?


RECOMMEND TRUSTED PARTNERS

As part of our invitation-only growth model, we prioritize referrals from trusted providers.
If you know 1–2 exceptional practitioners, clinics, or wellness brands who align with our values—science-led, service-driven, and visionary—you may recommend them for consideration.

In return, for each approved referral, you'll receive:

✅ Priority listing placement on the marketplace for 30 days ✅ Early access to featured campaigns and curated bundles ✅ Partner spotlight in our newsletter and social channels

Kindly share their details below:

Contact Person Full Name

Brand / Business Name

Contact Email or Instagram

Why you recommend them