Part 1 (of 3): Affiliate or Satellite General Information

Have you been a CDAPP Sweet Success Affiliate in the past?

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* 2. Have you been a CDAPP Sweet Success Affiliate in the past?

Are you completing the survey for more than one (1) site?

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* 3. Are you completing the survey for more than one (1) site?

Affiliate Medical Director Name:

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* 4. Affiliate Medical Director Name:

Affiliate Address:

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* 5. Affiliate Address:

Please view your Affiliate Site(s) on our Affiliate Locator Online and tell us if you would like anything altered or added (e.g. phone number, website added, address change). Answer only the fields that apply and disregard this question if you are a new Affiliate.

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* 6. Please view your Affiliate Site(s) on our Affiliate Locator Online and tell us if you would like anything altered or added (e.g. phone number, website added, address change). Answer only the fields that apply and disregard this question if you are a new Affiliate.

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