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Affiliate Website Intake Form

Section 1 : Basic Information

Your Name

Your Email

Blog / Business Name

What is your niche?

Section 2 : Website Preferences

What pages do you want on your website?

Select all that apply
What pages do you want on your website?

If you selected "Other" - please specify which page(s)

Do you have a domain name?

Do you have a domain name?
A
B

If you have a domain, what is it?

Do you have your articles or content ready?

Do you have your articles or content ready?
A
B
C

Any websites you like the look of?

Section 3: Final

Anything else I should know?

Preferred color scheme