Affiliate Application Form
By filling out this application, you are applying to be an affiliate for Leslie Friedman Image Consulting. Completing the form does not guarantee acceptance into the program. All information will be used for internal use only and will never be shared with third parties. If you have questions or concerns, please email them to:
Full Name (first and last) *
Primary Occupation *
Mailing Address *
Email *
Phone Number *
What is the best way to reach you? *
Which course(s) are you interested in selling? (choose all that apply) *
Why are you interested in becoming an affiliate? *
What is the main thing that attracted you to this affiliate marketing program? *
How do you plan on marketing the course(s)? (Choose all that apply) *
If you have a blog/website, please enter it below:
Is there anything else we should know about you?
That's all!
Thanks for applying! If you are a good fit for our company, we will contact you via email in 3-4 days. BE SURE TO CHECK YOUR SPAM/JUNK or PROMOTIONS (in GMAIL) FOLDERS!! Your acceptance letter will come from: Look Great with Leslie E-Courses (
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