Full Name:*Paypal email (required for payment):* Regular email:* Describe your business or blog:Location of your business:Education:Certifications:List the url’s (if you have them) for:Website:Facebook page:Instagram:Youtube:Twitter:Google+:Pinterest:Other (please describe):How many hits a day do you have on your website?:How many subscribers do you have in your email list(s)?:Describe how you acquire new customers? (ie. word of mouth, lead magnets with opt-in pages, social media, FB ads, adwords, other methods, etc):Describe your typical customer:Describe the goals of your typical customer:Describe the current services that you offer to your customers:Why do you think the Fat Loss Fast System will be a good choice to offer your following?:Please provide the contact information for two (2) organizations that are willing to serve as references for you that have used your services for similar purposes.Number of employees:0-1011-5051-100100+Yearly net revenue:<$100,000$100,000 - $500,000$500,000 -$1,000,000>$1,000,000Do you use your email lists and social media to promote services/products to your prospects and existing customers?:YesNoNote: Please note your application will be reviewed. You will be contacted via email if you are accepted.
