Indigo Lane Brand Rep Application
Please Enter Your First and Last Name:
Please Enter Your Paypal Email:
This is for your affiliate payouts. If your paypal email is the same as your email listed above you can leave this blank. If you don't have one yet leave this blank and you can set one up when you get your first payout.
Please Enter Your Preferred Affiliate Username
Your username will follow you throughout the program. For example, if I chose 'indigolane' as my affiliate username, all of my affiliate tracking links would have that username and so would my discount codes (example indigolane15 would be my exclusive affiliate discount code). IMPORTANT: YOUR FOLLOWERS WILL SEE YOUR AFFILIATE USERNAME IN ANY DISCOUNT CODES GIVEN TO THEM AND IN YOUR AFFILIATE LINKS
Please Enter Your Phone Number:
Please Enter Your Full Address:
Please Enter Your Birthday:
Are You Under 18?
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