Affiliate Registration

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Did You Hear About Us?*

Do you have a website or blog?

Yes
No

Website

Monthly Website Traffic

Are you an email marketer?

Yes
No

Size of Database

What Is Your Influence?

Facebook
Twitter
Instagram
LinkedIn
Tumblr
Google+
Pinterest
YouTube
Other Social Media Site

Facebook Page

# Facebook Fans/Followers

Twitter Page

# Twitter Fans/Followers

Instagram Page

# Instagram Fans/Followers

LinkedIn Page

# LinkedIn Followers/Connections

Tumblr Page

# Tumblr Followers

Google + Page

# Google + Followers

Pinterest Page

# Pinterest Fans/Followers

YouTube Page

# YouTube Fans/Followers

Other Social Media Sites (Please list Page and # of Followers)

Each affiliate will have their own unique & personalized coupon code which will allow them to offer their audience a $25 discount off of an annual membership. If you have a preference on a coupon code please indicate below or one will be provided for you.

Email*

Enter Email Confirm Email

PayPal Email Address (Leave Blank if You Prefer Payment by Check)

Username*

Password*

Enter Password Confirm Password

Strength indicator

Terms & Conditions*

By checking this box, I confirm I have read, understand, acknowledge and accept the GOjoinGO Affiliate Terms & Conditions, and I agree to be bound by its terms.

Privacy Policy*

By checking this box, I confirm that I have read, understand, acknowledge, and agree to the Privacy Policy.

Age Certification*

By checking this box, I acknowledge and warrant that I am at least 18 years of age.

Certification of Authority*

By checking this box, I acknowledge, represent and warrant that all information is true, complete, and accurate, and I will keep all such information current with GOjoinGO.

Communications

Email me GOjoinGO’s affiliate newsletters and program updates.
Email me GOjoinGO’s member special offers and most exclusive deals.

You can change your mind at any time by clicking the unsubscribe link in the footer of any email you receive from us, or by contacting us at team@gojoingo.com. We will treat your information with respect. For more information about our privacy practices please visit our website. We use MailChimp as our marketing automation platform. The information that you provide will be transferred to MailChimp for processing in Accordance with their Privacy Policy and Terms.

Name

This field is for validation purposes and should be left unchanged.