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Affiliate Application

When you love a product, you want to spread the news! That’s why we have established a CONNETIX Affiliate Program to show our gratitude to all our supporters who share the love.

If you are excited to join the CONNETIX family and inspire others to learn through PLAY, simply fill out the form below to express your interest and receive more information!

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Comments

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Lead Type(Required)

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Mail Tag

Used to pass mail tag on specific forms so that it triggers the right action in Odoo. Passed in Gravity Forms shortcode on the page the form is shown on.

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Referrer

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utm_campaign

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utm_source

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utm_medium

How did you Hear About Us?(Required)

Other Detail(Required)

Contact Name(Required)

Contact Email Address(Required)

Business Trading Name(Required)

Business Phone Number(Required)

Business Location(Required)

Lookup(Required)

Please select your CountryPlease select your State/Region/Province

Contact Work Email Address(Required)

Contact Work Phone Number(Required)

Education Institution Name(Required)

Education Institution ABN/Business Number(Required)

Education Facility Address(Required)

Lookup(Required)

CountryState

Contact Email Address(Required)

Country(Required)

Phone

Social Media

Please add in all of the Social Media accounts that you currently have. At least one entry is required

Platform	Handle/Username/URL	Actions

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Website

If you currently have a website, please add the url below.

Attachments

Please include any relevant files or screenshots of your statistics.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 5 MB, Max. files: 3.

Key Things you would like us to know / How will you promote Connetix?(Required)

PayPal email Address(Required)

Please note that all Affiliate Payments are made using PayPal. If you do not have a PayPal account, you can create one here: PayPal Registration

Please enter the letters from each of the eight CONNETIX Easter Eggs that you found, one per box below.

Entry 1

Entry 1

Entry 1

Entry 1

Entry 1

Entry 1

Entry 1

Entry 1

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