Affiliate Summit East 2010 Scholarship Application
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1. Affiliate Summit East 2010 Scholarship Application

Shawn Collins and Missy Ward of Affiliate Summit are sponsoring up to fifty (50) “Pay it Forward Scholarships” to affiliates in the affiliate marketing industry.

The goal of the scholarships is to make the education and networking experience of Affiliate Summit available to affiliates who might not otherwise be able to attend.

Each recipient of the Pay it Forward Sponsorship will be awarded one (1) Platinum Pass to Affiliate Summit East 2010 (a $1,249 value). Applicants will be considered based on current participation in and future contribution to the affiliate marketing industry.

All applications will be reviewed by the Affiliate Summit Advisory Board and winners of the scholarships will be notified by June 14th.

Please complete the following information to be eligible for consideration. Deadline for submissions is Friday, June 4th.

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1. First and Last Name:

First and Last Name:

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2. Email address:

Email address:

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3. Full Mailing Address:

Full Mailing Address:

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4. Number of years of experience in the affiliate marketing industry:

Number of years of experience in the affiliate marketing industry:

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5. Enter the URL's of any existing Affiliate Marketing Websites (if any)

Enter the URL's of any existing Affiliate Marketing Websites (if any) 1
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6. Have you attended a previous Affiliate Summit?

Have you attended a previous Affiliate Summit?

7. If you answered "Yes" to the question above, please list all prior Affiliate Summits you have attended:

If you answered "Yes" to the question above, please list all prior Affiliate Summits you have attended: 1
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Affiliate Summit East 2010 Scholarship ApplicationExit this survey

1. Affiliate Summit East 2010 Scholarship Application

*1. First and Last Name:

*2. Email address:

*3. Full Mailing Address:

*4. Number of years of experience in the affiliate marketing industry:

*5. Enter the URL's of any existing Affiliate Marketing Websites (if any)

*6. Have you attended a previous Affiliate Summit?