Affiliate/JV Application
Please complete the following application and a team member will get back to you ASAP!
Name
*
First Name
Last Name
Company Name (optional)
PayPal Email
*
example@example.com
Primary Communication Email (if different)
example@example.com
Address (optional)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (In case we need to reach you for time-sensitive issues.)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a current member of Expert Media Academy?
Yes
No
Not sure
Please describe your target audience.
Website
Do you have a blog?
*
Yes
No
Email List Size
Under 2,500
2,501-5,000
5,001-15,000
15,001+
What is your SPAM % score?
Social Media Following (Check all that apply)
*
Facebook Personal Profile
Facebook Page (public)
Facebook Group
Instagram
YouTube
TikTok
X (Twitter)
I'm not on social media
Other
Number of Social Media Followers (largest platform)
Under 3,000
3,001-6,000
6,001-10,000
10,001+
Do you have a Podcast?
*
Yes
No
If you have a Podcast, would you like to have us on as guests and link to an evergreen affiliate offer?
Yes!
No, thank you.
What types of promotions are you interested in running? (Check all that apply.)
*
Live Webinar
Evergreen Webinar (if we have one)
Email
Podcast Interview
Social Media Posts
Other
Have you seen our Affiliates/JVs page?
*
Yes
No
When are you thinking about running the promotion?
*
Is there anything else about you or your business that you'd like us to know?
Please let our robot know that you're human. :)
*
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