Affiliate Media Program Setup
Please fill out the form to complete your All In One Marketing Affiliate Media Program Setup
First Name
(Required)
Last Name
(Required)
Email
(Required)
Very important! This email address will be used to access your affiliate dashboard, Hubspot account, and receive lead notifcations. Please make sure this is correct before submitting this form!
Enter Email
Confirm Email
Phone
(Required)
PayPal Email
(Required)
You must have a PayPal account to receive payouts. Please insert your PayPal account email address.
Business Name
(Required)
Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.
(Required)
Individual/sole proprietor or single-member LLC
C Corporation
S Corporation
Partnership
Trust/estate
Limited liability company.
Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
(Required)
C Corporation
S Corporation
Partnership
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Provide your SSN or EIN (Only Fill Out One Option)
Which do you want to provide?
SSN
EIN (if you have a business entity)
Social Security Number (first three digits)
(Required)
Social Security Number (second two digits)
(Required)
Social Security Number (last four digits)
(Required)
Employer Identification Number (first two digits)
(Required)
Employer Identification Number (last seven digits)
(Required)
Signature
(Required)
Reset signature
Signature locked. Reset to sign again
Hidden
Date
(Required)
MM slash DD slash YYYY
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