Affiliate Program Application
This form is an application to Colbert/Ball Tax Service Affiliate Program.  If you are accepted into the Affiliate Program a member from our team will reach out to you within 72 hours.
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Email *
Personal Information:  Full Name *
Email Address *
Phone Number *
Address:  Street, City, State and Zip Code *
Business Information:  Business Name (If Applicable)
Type of Business
Tax Identification
Business Phone Number
Business Address (Street, City, State and Zip Code)
Marketing Information:  How do you intend to promote Colbert/Ball Tax services? (Social media, Email Marketing, Word of Mouth, Website/Blog, Other) *
Estimated Reach/Audience Size ( Number of Website/Blog Monthly Visitors, Social Media Followers, Email List Subscribers) *
Why do you want to join our Affiliate Program? *
Do you have previous experience with Affiliate Marketing? *
If Yes, please describe your Affiliate Marketing experience.

Agreement 

I hereby certify that the information provided above is accurate and complete to the best of my  knowledge. I agree to abide by the terms and conditions of the affiliate program. ***** By typing my name below, I acknowledge that this electronic signature has the same legal force and effect as a manual signature ***** (Name and Date)


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