Affiliate Application

Please complete this short application form; we'll review your information and will be in touch if we think you are a good fit for our program! 

about you
* First Name:
* Last Name:
* Company Name:
* Your Email Address:
* Are you an affiliate for any other companies? If so, please list; if not, type "none"
Where will you be promoting GladRags?
Enter the URL of the web property where you'll be posting links to GladRags. If you have more than one web property, please separate them with commas. Please note: your primary web property may not be a social media site.
* Your Web Property: i.e.
* Average Monthly Traffic:
* How do you plan to promote your affiliate link?
For our records
* Phone:
* Street Address:
* City:
* State:
* Postal/Zip Code:
* Country:
Payout via PayPal
You must enter your PayPal email address in order to receive commission..
Your PayPal Email:
Review Your Info & Submit!
* Enter the security
code shown (no spaces):