{"id":5408,"date":"2021-09-22T13:07:03","date_gmt":"2021-09-22T13:07:03","guid":{"rendered":"https:\/\/evaluate.ng\/?page_id=5408"},"modified":"2021-10-04T11:28:36","modified_gmt":"2021-10-04T11:28:36","slug":"affiliate-program-registration-form","status":"publish","type":"page","link":"https:\/\/evaluate.ng\/affiliate-program-registration-form\/","title":{"rendered":"Affiliate Program Registration Form"},"content":{"rendered":"<section id=\"bt_bb_section66257c9ab5c73\"  class=\"bt_bb_section bt_bb_layout_boxed_1200 bt_bb_vertical_align_top bt_bb_background_image bt_bb_background_overlay_dark_solid bt_bb_top_spacing_medium bt_bb_bottom_spacing_medium\" style=\"background-image:url(&#039;https:\/\/evaluate.ng\/wp-content\/uploads\/2021\/09\/The-value-of-social-media-1.jpg&#039;);\"    data-bt-override-class=\"null\"><div class=\"bt_bb_port\"><div class=\"bt_bb_cell\"><div class=\"bt_bb_cell_inner\"><div class=\"bt_bb_row_wrapper\"><div  class=\"bt_bb_row\"  data-bt-override-class=\"{}\"><div  class=\"bt_bb_column col-xxl-12 col-xl-12 col-xs-12 col-sm-12 col-md-12 col-lg-12 bt_bb_vertical_align_top bt_bb_align_center bt_bb_padding_normal\"  data-width=\"12\" data-bt-override-class=\"{&quot;bt_bb_align_&quot;:{&quot;current_class&quot;:&quot;bt_bb_align_center&quot;,&quot;xxl&quot;:&quot;center&quot;,&quot;xl&quot;:&quot;center&quot;}}\"><div class=\"bt_bb_column_content\"><div class=\"bt_bb_column_content_inner\"><header class=\"bt_bb_headline bt_bb_dash_none bt_bb_size_inherit bt_bb_align_inherit\" data-bt-override-class=\"{&quot;bt_bb_size_&quot;:{&quot;current_class&quot;:&quot;bt_bb_size_inherit&quot;,&quot;xxl&quot;:&quot;inherit&quot;,&quot;xl&quot;:&quot;inherit&quot;},&quot;bt_bb_align_&quot;:{&quot;current_class&quot;:&quot;bt_bb_align_inherit&quot;,&quot;xxl&quot;:&quot;inherit&quot;,&quot;xl&quot;:&quot;inherit&quot;}}\"><h1 class=\"bt_bb_headline_tag\"><span class=\"bt_bb_headline_content\"><span><em>Affiliate Program <\/em><strong>Registration Form<\/strong><\/span><\/span><\/h1><\/header><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section id=\"bt_bb_section66257c9ab5fc1\"  class=\"bt_bb_section bt_bb_layout_boxed_1200 bt_bb_vertical_align_top bt_bb_top_spacing_medium bt_bb_bottom_spacing_medium\" style=\";background-color:rgb(241,241,241);\"    data-bt-override-class=\"null\"><div class=\"bt_bb_port\"><div class=\"bt_bb_cell\"><div class=\"bt_bb_cell_inner\"><div class=\"bt_bb_row_wrapper\"><div  class=\"bt_bb_row\"  data-bt-override-class=\"{}\"><div  class=\"bt_bb_column col-xxl-12 col-xl-12 col-xs-12 col-sm-12 col-md-12 col-lg-12 bt_bb_vertical_align_top bt_bb_align_left bt_bb_padding_normal\"  data-width=\"12\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_content\"><div class=\"bt_bb_column_content_inner\"><div  class=\"bt_bb_text\" ><div class=\"forminator-ui forminator-custom-form forminator-custom-form-5679 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-5679\" data-uid=\"66257c9ab6181\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-5679\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-5679 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"5679\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\tenctype=\"multipart\/form-data\"\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"66257c9ab6181\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_66257c9ab6181\" id=\"forminator-field-name-1_66257c9ab6181-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Full Name\" id=\"forminator-field-name-1_66257c9ab6181\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-66257c9ab6181-label\"><h4 id=\"forminator-checkbox-group-66257c9ab6181-label\" class=\"forminator-label\">Sex <span class=\"forminator-required\">*<\/span><\/h4><label id=\"forminator-field-checkbox-1-1-66257c9ab6181-label\" for=\"forminator-field-checkbox-1-1-66257c9ab6181\" class=\"forminator-checkbox\" title=\"Male\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"male\" id=\"forminator-field-checkbox-1-1-66257c9ab6181\" aria-labelledby=\"forminator-field-checkbox-1-1-66257c9ab6181-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-1-66257c9ab6181-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Male<\/span><\/label><label id=\"forminator-field-checkbox-1-2-66257c9ab6181-label\" for=\"forminator-field-checkbox-1-2-66257c9ab6181\" class=\"forminator-checkbox\" title=\"Female\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"female\" id=\"forminator-field-checkbox-1-2-66257c9ab6181\" aria-labelledby=\"forminator-field-checkbox-1-2-66257c9ab6181-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-1-66257c9ab6181-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Female<\/span><\/label><\/div><\/div><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_66257c9ab6181\" id=\"forminator-field-upload-1_66257c9ab6181-label\" class=\"forminator-label\">Upload file <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_66257c9ab6181\" aria-describedby=\"forminator-field-upload-1_66257c9ab6181-description\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_66257c9ab6181\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.css,.htm,.html,.vtt,.dfxp,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.js,.pdf,.class,.tar,.zip,.gz,.gzip,.rar,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.json,.svg,.svgz,.xml\"><button id=\"forminator-field-upload-1_66257c9ab6181_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_66257c9ab6181\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_66257c9ab6181\" id=\"forminator-field-phone-1_66257c9ab6181-label\" class=\"forminator-label\">Phone Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Phone Number\" id=\"forminator-field-phone-1_66257c9ab6181\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_66257c9ab6181\" id=\"forminator-field-email-1_66257c9ab6181-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Email Address\" id=\"forminator-field-email-1_66257c9ab6181\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_66257c9ab6181\" id=\"forminator-field-text-1_66257c9ab6181-label\" class=\"forminator-label\">Street Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Street Address\" id=\"forminator-field-text-1_66257c9ab6181\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_66257c9ab6181\" id=\"forminator-field-text-2_66257c9ab6181-label\" class=\"forminator-label\">Current Place of Employment <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Current Place of Employment\" id=\"forminator-field-text-2_66257c9ab6181\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-5679__field--select-1_66257c9ab6181\" id=\"forminator-form-5679__field--select-1_66257c9ab6181-label\" class=\"forminator-label\">Partnership of Interest<\/label><select id=\"forminator-form-5679__field--select-1_66257c9ab6181\" class=\"forminator-select--field forminator-select2\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" aria-labelledby=\"forminator-form-5679__field--select-1_66257c9ab6181-label\" aria-describedby=\"forminator-form-5679__field--select-1_66257c9ab6181-description\"><option value=\"media-partner\"  data-calculation=\"0\">Media Partner<\/option><option value=\"agency-partner\"  data-calculation=\"0\">Agency Partner<\/option><option value=\"affiliate-partnership-program\"  data-calculation=\"0\">Affiliate Partnership Program<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_66257c9ab6181\" id=\"forminator-field-text-3_66257c9ab6181-label\" class=\"forminator-label\">How did you hear about us? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"How did you hear about us?\" id=\"forminator-field-text-3_66257c9ab6181\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p><strong>Account Details<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_66257c9ab6181\" id=\"forminator-field-number-1_66257c9ab6181-label\" class=\"forminator-label\">Account Number<\/label><input name=\"number-1\" value=\"\" placeholder=\"Account Number\" id=\"forminator-field-number-1_66257c9ab6181\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_66257c9ab6181\" id=\"forminator-field-text-4_66257c9ab6181-label\" class=\"forminator-label\">Account Name<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Account Name\" id=\"forminator-field-text-4_66257c9ab6181\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_66257c9ab6181\" id=\"forminator-field-text-5_66257c9ab6181-label\" class=\"forminator-label\">Bank Name<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Bank Name\" id=\"forminator-field-text-5_66257c9ab6181\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">SEND MESSAGE<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"096c5d8a2c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/5408\" \/><input type=\"hidden\" name=\"form_id\" value=\"5679\"><input type=\"hidden\" name=\"page_id\" value=\"5408\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/evaluate.ng\/affiliate-program-registration-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/evaluate.ng\/wp-json\/wp\/v2\/pages\/5408"}],"collection":[{"href":"https:\/\/evaluate.ng\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/evaluate.ng\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/evaluate.ng\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/evaluate.ng\/wp-json\/wp\/v2\/comments?post=5408"}],"version-history":[{"count":1,"href":"https:\/\/evaluate.ng\/wp-json\/wp\/v2\/pages\/5408\/revisions"}],"predecessor-version":[{"id":6596,"href":"https:\/\/evaluate.ng\/wp-json\/wp\/v2\/pages\/5408\/revisions\/6596"}],"wp:attachment":[{"href":"https:\/\/evaluate.ng\/wp-json\/wp\/v2\/media?parent=5408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}