Affiliate Program

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:

0-10
11-50
51-100
100+

Yearly net revenue:

<$100,000
$100,000 - $500,000
$500,000 -$1,000,000
>$1,000,000

Do you use your email lists and social media to promote services/products to your prospects and existing customers?:

Yes
No

Note:
Please note your application will be reviewed. You will be contacted via email if you are accepted.