PLEASE COMPLETE FORM TO THE BEST OF YOUR ABILITY. 
 
If your product is FDA-regulated -- supplement, food, cosmetic, OTC, medical device, pet product, etc. -- and it is approved for further review, the following information/documentation will be required:

•  Digital copy of full product label(s);

•  Current Certificate of Good Manufacturing Practices (cGMP) for manufacturer;

•  Certificates of Analysis for finished-product and/or ingredients.
 
•  Certificate of Insurance for product liability policy that meets required coverage amounts;

•  Confirmation that your company / product(s) are compliant with California's Proposition 65 and that your company / product(s) have received no warning letters, adverse event reports, or other documents related to legal, administrative, or regulatory proceedings, investigations or actions.

•  Signed addendum.

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* 1. Please provide your name, company name, position within the company, email, and phone number.

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* 2. List other key personnel needed on any communication or business decisions including name, email address, title, and phone number.

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* 3. What is your total gross company revenue per year?

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* 4. What is your priority in getting this product(s) on the ClickBank Platform?

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* 5. How familiar are you with Direct Response Marketing?

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* 6. What other channels are your product(s) sold through?

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* 7. Do you currently have an affiliate program?

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* 8. Do you promote this product(s) with your own traffic?

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* 9. Where is the bulk of your traffic coming from?

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* 10. What is the name(s) of the product(s) you would like to sell on ClickBank?

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* 11. What is the sales price of your product(s)?

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* 12. For each product listed, how many units do you sell per month on average?

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* 13. How long have you been selling the listed product(s)?

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* 14. Please provide a brief description of the product(s).

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* 15. Do you provide an insert or marketing materials with the product when shipped to the customer?

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* 16. Please upload a high resolution digital copy of the insert provided.

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.
Choose File

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* 17. Please provide ALL URL’s for your website, pitch page, sales/landing pages, and or video sales letters for this product.

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* 18. What is the type of your product(s)?

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* 19. Please upload a high-resolution copy of your label(s) if applicable. ** File size limit is 16MB **

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

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* 20. Can you provide a sample if requested?

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* 21. Have you received any warning letters, complaints, Form 483s, AER and SAER form 3500’s, consent decrees, orders, or other documents related to legal, administrative, or regulatory proceedings, investigation, or action relating to your company or your products?

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* 22. Please list all ingredients contained within the product(s). (You may include a link to your product page, but ALL ingredients must be listed in the space below.)

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* 23. Does the on-hand inventory exceed $5000 in retail value?

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* 24. Can on-hand inventory of at least $5000 be replenished within one month?

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* 25. Is the product or its materials sourced or manufactured outside the United States?

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* 26. What firm or person performs regulatory compliance reviews of your ingredients, label(s), and marketing?

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* 27. Do you intend to ship outside of the United States or its territories?

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* 28. Is the product shipped with 48 hours of purchase?

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* 29. What is the name of the manufacturer of the product(s)? Please provide the URL for the manufacturer. 

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* 30. Do you utilize ShipStation or another shipping software?

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* 31. What is the name of your fulfillment center? Please also provide the URL for the fulfillment center.

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* 32. What Customer Relationship Management service do you use? (For Example: Ontraport, Infusionsoft, Clickfunnels, Active Campaign).

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* 33. What do you use for a site builder? (For Example: Wordpress, Clickfunnels, Thrive, Lead Pages).

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* 34. What Membership Software do you use if any? (For Example: Kajabi, Wishlist Member, Member Mouse, Clickfunnels).

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* 35. What do you use for your Email Service Provider? (For Example: Aweber, Maropost, MailChimp).

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* 36. Do you have a ClickBank account?

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* 37. Are you currently working or in communication with a ClickBank representative?

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* 38. How did you hear about the opportunity to sell physical products through ClickBank?

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