Nima Affiliate Program Application
Want to be a Nima affiliate? Answer these questions so we can get to know you a little better and see if Nima would be a good fit. Someone from the Nima team will follow-up with you shortly!
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
City *
Your answer
State *
Your answer
Country
Your answer
Phone
Your answer
Type of business / industry *
How did you hear about Nima? *
Your answer
How do you see Nima fitting into your life/business? *
Your answer
Which space are you in? *
Why do you think you would be a good Nima representative? *
Your answer
How often do you expect to be promoting Nima? *
Please list any relevant social channels (Twitter handle, Facebook page, Instagram, YouTube, Website, etc.)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Nima. Report Abuse - Terms of Service