Publisher Application
Account Details
UTM_Source
UTM_Medium
ID
Name
*
First Name
Last Name
Please verify your Phone Number
Phone Number
*
Please enter a valid phone number.
Email
*
Email
example@example.com
LinkedIn Profile URL
Affiliate Manager
Are you working with an Affiliate Manager?
*
Yes
No
Who have you been working with?
Please Select
Leigha Silberman
Daniel Cole
Terrell Williams
Jack Rodosky
Adam Hirschberg
Hadley Seprish
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Contact Details
What's the best way to get in contact with you?
Are you located in the United States?
*
Yes
No
Do you work with a company?
*
Yes - I am apart of a company
No - I work for myself
Company Name
*
Company URL
*
What is your preferred method of communication?
*
Please Select
Text
WhatsApp
Skype
Telegram
Email
Phone/Call
Skype ID
Telegram ID
WhatsApp ID
International Address
*
Address
*
Test
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Traffic Details
Please tell us about the type(s) of traffic you own.
How much do you currently earn per month in affiliate commissions? (Approximate)
*
How many affiliate offers are you promoting currently?
*
Please Select
0 - 1
1 - 10
10 - 30
30 - 100
100+
How do you plan to promote our offers?
*
What type(s) of traffic do you own?
*
SEO
Social
Email
Coupon
Media Buyer/PPC
Twitch/Streaming
Survey
Co-Reg
SMS
SEO Traffic
How many monthly visitors do you have?
*
Please list any owned websites and landing page URLs
*
Social Traffic
How many fans/followers do you have across all accounts?
*
Please list any owned social profiles, groups, and page URLs
*
Email Traffic
How many email addresses are on your list?
*
How did you source the emails on your list?
*
SMS Traffic
How many numbers do you have on your SMS list?
*
How did you source the numbers on your SMS list?
*
Source
Please Select
Google
Referral
ASE - 2021
Affiliate Manager Link
Submit
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