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Affiliate Application

Thanks for filling out the affiliate application. Please make sure you take a few minutes to read the agreement. This is NOT an application for employment. It IS an application to be an independent contractor who represents Lucky Pinup.

Your Email:

Your Name:

Your Telephone:

Address
If you become a Lucky Pinup Affiliate, this is where we will mail your checks.

Street Address:

Apartment or Suite Number:

City:

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Zip Code:

Why do you want to be a Lucky Pinup Affiliate?

What's your sales strategy? Who will you sell to?

By submitting this form you have read and will abide by our agreement.

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