CONTRIBUTOR APPLICATION

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Phone (for Emergencies only)(Required)

Address(Required)

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

Assistant's Information

Assistant's Name

Assistant's First Name Assistant's Last Name

Assistant's Email

Assistant's Phone Number

Your Information

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Your Headshot(Required)

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Accepted file types: jpg, gif, png, Max. file size: 64 MB.

(Minimum 600px)

Number of active subscribers on email list(Required)

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Tell us what media outlets you've been featured in:

Your amazing contribution!

Please do not choose gifts that are regularly a free opt in on your website. Your contributions should be high value. We’ve found our contributors who provide digital products or resources from their paid vaults, garner the greatest number of new lead flow and sales on the backend. Let's keep the integrity of an incredibly high quality giveaway together!

Title of Free Gift(Required)

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If you were to select a category for this gift, which would you choose:

Would you like to add a raffle prize to the giveaway?

If you add a raffle prize, the perceived value of your free gift goes up and it attracts more opt-ins. Win-win! You are responsible for selecting your raffle winner(s) and notifying us no later than January 15

Are you contributing a raffle prize to the giveaway?(Required)

Yes

Title of Raffle Prize

$ Value of Raffle Prize

Gift Image of Raffle Prize

Max. file size: 64 MB.

We are going live from January 6 - 13. You are required to send a promo mailer 2 times with the first promo going before August 9 and post on your social at least twice, unless previously discussed with the team.

1st Solo Mailer(Required)

2nd Solo Mailer(Required)

3rd Mailer to Unopens(Required)

(2) Can you think of any awesome people you'd like to refer to our giveaway? Our contributors serve audiences of online entrepreneurs and typically have active email lists of 5,000+. Please put their name/email below so we can reach out to them:

I am committed to follow the terms of my agreement and promote during January 6-13 for The Wealthy Coaches Giveaway

Yes, I am committed and will keep my integrity!

On second thought, let me contact you...

CONTRIBUTOR APPLICATION

Assistant's Information

Your Information

Your amazing contribution!

Would you like to add a raffle prize to the giveaway?

Your Promo Commitments