Local Bags Affiliate Application

Local Bags Affiliate Application

Sales Commission paid via Store Gift Card
Name*

First Name Last Name
Email*
example@example.com
Location*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
What is your favorite Local Bags Model?
How will you promote and help increase sales of the Local Bags brand?*
How many set of bags do you think you will sell a month?*
Facebook
Twitter
Instagram
Personal Website / Other
Any other information you would like to provide
Please verify that you are human*
Should be Empty: