Full Name:* Paypal email (required for payment):* Regular email:* Describe your business or blog:Location of your business: Education: Certifications: List the url’s (if you have them) for:Website: Facebook page: Instagram: Youtube: Twitter: Google+: Pinterest: Other (please describe): How many hits a day do you have on your website?: How many subscribers do you have in your email list(s)?: Describe how you acquire new customers? (ie. word of mouth, lead magnets with opt-in pages, social media, FB ads, adwords, other methods, etc):Describe your typical customer:Describe the goals of your typical customer:Describe the current services that you offer to your customers:Why do you think the Fat Loss Fast System will be a good choice to offer your following?:Please provide the contact information for two (2) organizations that are willing to serve as references for you that have used your services for similar purposes.Number of employees: 0-10 11-50 51-100 100+ Yearly net revenue: <$100,000 $100,000 - $500,000 $500,000 -$1,000,000 >$1,000,000 Do you use your email lists and social media to promote services/products to your prospects and existing customers?: Yes No Note: Please note your application will be reviewed. You will be contacted via email if you are accepted. Δ