Champion Referral Partner Application
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Email *
Name *
Address *
Phone number *
What is your connection with The CoCreation Community? *
Do you have a website? If so, please list the link. *
Do you have an online and social media presence? Please list the links to your social media presence. *
Have you been a Referral Partner/Affiliate before? Please let us know with whom and when. *
Why do you want to be a Champion Referral Partner/Affiliate? *
How do you envision promoting The CoCreation Community's programs, services, and products? *
Do you have a PayPal account?  Please give us your account email so we can send your commissions every quarter. (If you need help setting up a PayPal account, let us know.) *
I am in alignment with The CoCreation Community Core Values of Consciousness, Connection, Creativity, Communication, Congruency, and Community? (https://www.thecocreationcommunity.com/6-cs-of-co-creation)
Signature/Name: *
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