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STEP 3

Complete this form.  Do not skip any fields.  Do not type in all lower case.

 

 
 
Email Address:
First Name:
Last Name:
Your AWeber username:

Your AWeber password (8-digit PW that they assigned to you):

Please list your sponsor's name here:

Add any other Notes (comments or questions):

Contact Phone Number where we can reach you:

Contact info you would like displayed in your letters

(usually your name, email and phone):

Your Postal Mailing Address:
Your Personal Website Domain Address (optional):
Your Personal Scent-Sations Website:

Email account you would like your lead notifications to go to:

1st choice for your splashpage username:
2nd choice for your splashpage username:
3rd choice for your splashpage username:
Paypal or AlertPay email address you paid (monthly fee) from:
Alternate email addresses where we can reach you and any additional notes you wish to include:

After you submit this form, please look for a verification email from MySplashPRO

so that we may send you a confirmation email for your completed order.

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