Name/ Email/ Phone(SMS) Can this number receive text messages? City/Country How did you hear of this? (Rep name if applicable) What program are you promoting? How much to join? Is there a monthly Autoship? How often is commission paid out for this? Is it sold Internationally? If so what Countries? We have leads in over 20+ countries, What Countries would you like us to target for you? We are US based however we can market in: Spanish, Swedish, Russian, French, and Italian. Which languages would you need? What are your goals for this? Have you tried marketing assistance in the past? Have you ever worked with: Infinity Downline, MCA Motorclub, Wake Up Now, or DS Dominination? Are you registered with any CPA Networks? If so which ones? What service do you need from us? Do you want a phone call? If Yes Best Time? What price did we quote you for that service? How many free additional signups do you get wih this package? You do know our primary payment method is www.skrill.com? Alternate Method is Vanilla Reload Code or Money Pak...would you prefer that?(Us Residents only) How soon do you want to start working with us? Enter your links you want promoted.