VMAX Affiliate Application
Join our network of successful marketers
Personal Information
Name
First Name
Last Name
Business Email
example@example.com
Phone Number
Format: +1 (XXX) XXX-XXXX
Professional Profiles
Linkedln Profile*
Must be complete professional profile
Website or Portfolio
Optional - Include full URL
Cancel Application
Yes
No
Business Information
Company Name
Business registration will be verified if provided
Business Website
Must be active with SSL certificate
Marketing Capabilities
Primary Marketing Channels (Select at least 2)
Social Media Marketing
Email marketing
Paid Advertising
Content Marketing
SEO/SEM
Influencer Marketing
Target Industries
Select primary industry focus: (Please choose your main area of expertise)
E- commerce
SaaS/Technology
Professional Services
Education
Retail
Current Client Base Size Range: (Please select active clients in the past 6 months)
1-5 clients
6-15 clients
16-30 clients
31-50 clients
50 plus clients
Experience & Goals
Describe Your Marketing Experience:(Please share your relevant experience, successful campaigns, and achievements...)
Minimum 200 characters - Include specificexamples
Performance Goals
Expected Monthly Referrals: Please select target range
Please Select
1-3 referrals per month
4-6 referrals per month
7-10 referrals per month
10 plus referrals per month
Time Commitment: Please select hours per week
Please Select
5-10 hours per week
5-10 hours per week
5-10 hours per week
5-10 hours per week
Proposed Marketing Strategy
How Will You Promote VMAX? Please describe your marketing approach and strategies...
Include specific channels and tactics
Terms & Verification: I agree to the VMAX Affiliate Program Terms & Conditions and confirm all information provided is accurate and can be verified.
Yes
No
Signature
Submit
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