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What is the name of your company?
What's your full name?
What type of traffic do you have?
PPC (Google, Facebook, Pinterest etc)
SEO (Blog, forum, article marketing)
Banner (Tube sites, Google etc)
Email (Must be your own list)
Other (If not listed above)
What’s your ClickBank ID?
If you don't have one, please sign up at -
Are you a US-based company?
Do you have a W9? Note: If you're NOT a US-based company, you can skip this question.
Who referred you?
The Hair Doctor
What is your Skype handle?
A copy of your responses will be emailed to the address you provided.
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