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Carenami Affiliate Program
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone
*
Your answer
City and State
Your answer
Company Name
Your answer
Type of Business
Geriatric Care Manager
Hospital Discharge Agent
Home Care Agency
Eldercare Non-Profit
Other:
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Which commission method do you prefer?
Recurring Rate
Flat Rate
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What mode of payment do you prefer?
Zelle
ACH Bank Transfer
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Send me a copy of my responses.
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