* 1. Contact Information

* 2. The following best describes me (my organization):

* 3. Blog/Website Name (if applicable)

* 4. Blog/Website URL (if applicable)

* 5. Business Name (if different than blog/website name)

* 6. Referring Blog/Person? (If applicable)

* 7. Facebook Fan Page URL (if applicable)

* 8. Pinterest Fan Page URL (if applicable)

* 9. Google+ Fan Page URL (if applicable)

* 10. Twitter Fan Page URL (if applicable)

* 11. Instagram Fan Page URL (if applicable)

* 12. Do you currently or have you ever had an OAMM Membership account? (For purposes of setting up your affiliate account, not for judging your participation as an affiliate). :)

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