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Your Name

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Account Email *

Payment Email

Website URL

Please provide links to your existing social media accounts

E.g. https://twitter.com/youraccount

Website, email & social media statistics

Please provide any relevant website or social media statistics, e.g. monthly unique site visits, number of email subscribers, followers, etc. (we will keep this information confidential)

How will you promote us?

Please provide details on how you intend to promote AffiliateWP (please be as specific as possible)

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