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Affiliate High Rollers Networking Registration
Please complete this form to help us facilitate valuable networking opportunities at the event.
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* Indicates required question
Full Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Telegram Handle (e.g., @username)
*
Your answer
Instagram Handle (Optional)
*
Your answer
Professional Info
Company / Brand Name
*
Your answer
Your Primary Role / Title
*
Choose
Media Buyer
Affiliate Manager
Network Owner
Agency Owner
Advertiser / Brand Representative
Publisher / Content Creator
Other (Please specify below)
How long have you been actively involved in affiliate/performance marketing?
*
Less than 6 months
6 months - 1 year
1 - 3 years
3 - 5 years
5+ years
What is your approximate monthly ad spend or revenue range (USD)?
*
Choose
Under $5,000
$5,000 - $25,000
$25,001 - $100,000
$100,001 - $500,000
Over $500,000
What verticals (industries) do you primarily work in? (Select all that apply)
*
E-commerce / Retail
Financial Services / Crypto
Gaming / Sweepstakes
Health & Wellness / Nutra
Lead Generation (Various)
Dating
Software / SaaS
Travel
Gambling / iGaming
Other (Please specify below)
Required
What platforms do you run traffic on? (Select all that apply)
*
Facebook / Instagram (Meta)
Google Ads (Search/Display/YouTube)
Native Ads (e.g., Taboola, Outbrain)
TikTok
Push Notifications
Email Marketing
SEO / Organic Traffic
SMS Marketing
Programmatic / DSPs
Other (Please specify below)
Required
List the top 3 networks or brands you are currently working with/promoting (for matchmaking purposes).
Your answer
Which conference are you currently attending (where this Affiliate High Rollers event is taking place)?
Your answer
How did you hear about Affiliate High Rollers?
*
Choose
Referral from a Friend / Colleague
Social Media (Instagram/LinkedIn/Telegram)
Email Invitation
Affiliate Network/Partner Recommendation
Saw it at the Main Conference
Other
What do you want to get out of networking at this event? (Select top 3 priorities)
Find new traffic sources/publishers
Find new offers/advertisers
Meet industry veterans/thought leaders
Exchange best practices and strategies
Find potential partners for joint ventures
General brand visibility and relationship building
Would you be interested in attending future Affiliate High Rollers events?
Yes, absolutely
Maybe, depending on location/date
No
Clear selection
Would you be interested in sponsoring or partnering on future events?
*
Yes, please contact me with details
Maybe in the future
No
Submit
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