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Millis Affiliate Program Application Form

Thank you for your interest in becoming a Millis Affiliate! Please fill out the form below, and we’ll get you onboard shortly.

Personal Information

About You

Website or Social Media Profile (if applicable):

Which of the following best describes you? (Select all that apply):

Which of the following best describes you? (Select all that apply):
A
B
C
D
E
F

Briefly describe your target audience and how you plan to promote Millis:

Additional Details

What makes you interested in the Millis Affiliate Program?

How did you hear about Millis?