Eye Putt Pro Affiliate Application

Business Name

Your Name*

First NameLast Name

I own a golf business or golf academyI am a golf professional at a golf courseI teach individual/group golf instructionI am a high school or college golf coachI promote/run online golf blogs/pagesI am the Buyer for a Pro Shop or Golf ShopI am a Tournament Event PlannerI am a Reseller onlineOther

Please tell us about yourself

YesNo

Do you work with any other companies as an affiliate?

Channels & Handles

Website

E-mail*

Phone Number*

Area CodePhone Number

Address (Commission Checks Mailed To)*

Street Address

Street Address Line 2

CityState

Zip Code