Partner Membership Application
Full Name
*
First Name
Last Name
Team Name
*
E-mail
*
Mobile Number
*
-
Area Code
Phone Number
Please upload your team logo to be included on the partner website.
Partner Membership (choose one)
*
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next
( X )
Partner - Bronze Level
(
$
30.00
for the
first month
then,
$
5.00
for each
month
)
Partner - Silver Level
(
$
45.00
for the
first month
then,
$
10.00
for each
month
)
Partner - Gold Level
(
$
60.00
for the
first month
then,
$
15.00
for each
month
)
Partner - Platinum Level
(
$
75.00
for the
first month
then,
$
20.00
for each
month
)
Enter coupon
Apply
Total
$
0.00
Submit
Should be Empty: