Coach Greg Ambassador Program Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Country Code
Area Code
Phone Number
4
Are you age 18 or older?* This field is required.
YESNO
5
Provide all of your social media handles.* This field is required.Please include your current audience size.
6
Why do you wish to join this affiliate program?* This field is required.
7
Are you affiliated with any other brand?* This field is required.
Yes
No
8
Please describe further your association with other brand(s).* This field is required.
9
Product category you wish to promote* This field is required.
Supplements
E-Books
Coaching
Clothing
Other
10
How familiar are you with Coach Greg and his content?* This field is required.
11
What is your fitness background?* This field is required.
12
What do you want your 10% off marketing discount code to be?* This field is required.i.e. "Use Code: 'GREG' For 10% Off!"
Should be Empty: