Contact Information.
First Name *
Last Name *
Email *
Phone Number *
Street Address 1 *
Street Address 2
City *
State *
Postal/Zip Code *
Company
Payment Information:
If PayPal Give Us Your PayPal Email Address:
Please answer the following questions:
Will you be using a website or blog to promote our products: *
Yes
No
If so, what is the url of the site?
What social media platforms will you be using to promote our products?* (select all that apply):
Facebook
Pinterest
Twitter
Instagram
Google Plus
YouTube
Linked In
Other (more than one separate by comma):
Will you be promoting our products to an email list? *
Yes
No
If so, what is the size of your email list?
What other ideas do you have for promoting our affiliate products?
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