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Affiliate Program Application

Complete this form and we'll review your application. If we have additional questions we'll reach out, otherwise you can expect to hear whether you've been approved within 5 business days.

First name*

Last name*

Email*

Phone*

Company/Organization name*

Your Position*

What's your platform?*

Describe your audience*

Why do you think they'll be interested in a Rural Innovator Membership?*

How do you plan to promote Rural Ideas Network and/or the Rural Innovator membership?*

How many memberships do you estimate you will sell to your audience?*

Will you want us to help promote Rural Ideas Network on your platform? If so, how?*

Anything else we should know? (optional)

© 2020 by Rural Ideas Network
The Rural Ideas Network is a 501(c)3 nonprofit organization.

210 Jones St, Suite 200, Dubuque IA 52001

Fulfillment & Refund Policies

All of our services are delivered virtually. Once payment is completed you'll receive an email with instructions to access your purchased services. All sales are final. For services with automatic recurring payments, you can cancel anytime from your account dashboard.

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