Affiliate Marketer Application Form

Personal Information

Experience and Goals

How long have you been involved in affiliate marketing? *

Which affiliate networks are you currently part of?*

Please describe your most successful affiliate marketing campaign*

What are your goals as an affiliate marketer?*

Website and Marketing Information

Social Media Profiles (Include links):

Do you have a TCPC Litigator or The Blacklist Alliance account?*

Tell us about your compliance procedures at your company.*

Preferred Marketing Channels*

Estimated Monthly Traffic*

Age Group*

Target Audience Location*

By checking this box, you agree that your electronic signature (hereinafter referred to as "E-Signature") is the legal equivalent of your manual signature. You consent to be legally bound by this agreement's terms and conditions. You agree that we may provide you with any communications in electronic format, including email, SMS or traditional mail. By agreeing to this consent, you confirm that you can access the electronic records in the formats described above, and that you have an email account with the capacity to receive emails from us.

Affiliate Marketer Application Form

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