Pampers Spring Coupon Sponsored Post Campaign

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* 1. Contact Information

Name: *

Company: *

Address 1: *

Address 2:

City/Town: *

State/Province: *

ZIP/Postal Code: *

Country: *

Email Address: *

Phone Number: *

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* 2. What is your Blog URL?

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* 3. How many Unique Monthly Visitors?

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* 4. What is the URL to your Facebook Page?

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* 5. How many Facebook Fans do you currently have?

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* 6. What is the URL to your Twitter Page?

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* 7. How many Twitter followers do you have?

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* 8. For this campaign, you will be required to publish a blog post sharing the Pampers "Print At Home" Coupon link, which will be provided to you by iConnect. You will also be required to amplify your post once on Facebook and twice on Twitter. You will also be required to tweet the link to the coupon TWO additional times.Compensation for this will be $60 paid via PayPal within 90 days of the close of the campaign. You will use an additional $15 provided by iConnect to sponsor the coupon link either on Twitter or Facebook.Are you willing to complete all tasks stated above during the assigned time frame?

Yes

No

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* 9. Please tell us why you think you would be a great fit for this campaign and how your post would be unique.