affiliates – FreedomSoft

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Your Information

[headline style="1" font_font="Myriad%20Pro" font_style="normal" font_spacing="-1" align="center" headline_tag="h2" top_margin="0" bottom_margin="40"][memb_is_logged_in]Your Information[/memb_is_logged_in][/headline]

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[custom_html]

General Information

First Name *

Last Name *

Email *

Phone

Address To Send Payments

Street Address 1

City

State

Postal Code

Country

[/custom_html]

[custom_html][memb_is_logged_in]<h4>General Information</h4><br />
<form accept-charset="UTF-8" action="https://freedomsoft2.infusionsoft.com/app/form/process/91750a854ae0115fa47fd972561dee87" class="infusion-form" method="POST"><br />
    <input name="inf_form_xid" type="hidden" value="91750a854ae0115fa47fd972561dee87"/><br />
    <input name="inf_form_name" type="hidden" value="Update Information"/><br />
    <input name="infusionsoft_version" type="hidden" value="1.48.0.48"/><br />
<div class="infusion-field"><label for="inf_field_FirstName">First Name *</label><br />
<input id="inf_field_FirstName" class="infusion-field-input-container" name="inf_field_FirstName" type="text" value="[memb_contact fields=FirstName]"/></div><br />
<div class="infusion-field"><label for="inf_field_LastName">Last Name *</label><br />
<input id="inf_field_LastName" class="infusion-field-input-container" name="inf_field_LastName" type="text" value="[memb_contact fields=LastName]"/></div><br />
<div class="infusion-field"><label for="inf_field_Email">Email *</label>[memb_contact fields=Email]<input id="inf_field_Email" class="infusion-field-input-container" name="inf_field_Email" type="hidden" value="[memb_contact fields=Email]"/></div><br />
<div class="infusion-field"><label for="inf_field_Phone1">Phone</label><br />
<input id="inf_field_Phone1" class="infusion-field-input-container" name="inf_field_Phone1" type="text" value="[memb_contact fields=Phone1]"/></div><br />
<h4>Address To Send Payments</h4><br />
<div class="infusion-field"><label for="inf_field_StreetAddress1">Street Address 1</label><br />
<input id="inf_field_StreetAddress1" class="infusion-field-input-container" name="inf_field_StreetAddress1" type="text" value="[memb_contact fields=StreetAddress1]"/></div><br />
<div class="infusion-field"><label for="inf_field_City">City</label><br />
<input id="inf_field_City" class="infusion-field-input-container" name="inf_field_City" type="text" value="[memb_contact fields=City]"/></div><br />
<div class="infusion-field"><label for="inf_field_State">State</label><br />
<input id="inf_field_State" class="infusion-field-input-container" name="inf_field_State" type="text" value="[memb_contact fields=State]"/></div><br />
<div class="infusion-field"><label for="inf_field_PostalCode">Postal Code</label><br />
<input id="inf_field_PostalCode" class="infusion-field-input-container" name="inf_field_PostalCode" type="text" value="[memb_contact fields=PostalCode]"/></div><br />
<div class="infusion-field"><label for="inf_field_Country">Country</label><br />
<select id="inf_field_Country" name="inf_field_Country">[memb_country_dropdown]</select><br />
</div><br />
<div class="infusion-submit"><input type="submit" value="Submit"/></div><br />
</form><br />
<script type="text/javascript" src="https://freedomsoft2.infusionsoft.com/app/webTracking/getTrackingCode?trackingId=7f07944ab0391a830509e084286ff67e"></script>[/memb_is_logged_in][/custom_html]

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Your Money

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[custom_html][memb_is_logged_in]<br />
<h4><center>Your Money</center></h4>[/memb_is_logged_in][/custom_html]

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Click Here To See Sales, Commission
Totals, Stats and More

[headline style="1" font_size="20" font_font="Myriad%20Pro" font_style="normal" align="center" headline_tag="h2"][memb_is_logged_in]<br />
Click Here To See Sales, Commission<br />
Totals, Stats and More[/memb_is_logged_in][/headline]

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— SPACER —

[vertical_spacing height="30"]

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[custom_html][/custom_html]

[custom_html][memb_is_logged_in]<center>[memb_affiliate_login label="Click Here To See Stats & Commissions" style="background-color:#77B242; padding:10px; color:white; font-weight:400;"]</center>[/memb_is_logged_in][/custom_html]

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[custom_html][/custom_html]

[custom_html]<center>[memb_affiliate_login]</center>[/custom_html]

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[vertical_spacing height="30"]

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Have you submitted your W9?

Do we have an updated W-9 on file for you? If you aren't sure, please upload one below:

Download a Blank W9

Or you can fax or email to:

Fax: (303) 428-3949

[email protected]

[/custom_html]

[custom_html][memb_is_logged_in]<br />
 <br/><br/><h4>Have you submitted your W9?</h4><br />
<p>Do we have an updated W-9 on file for you?  If you aren't sure, please upload one below: <br/><br/><br />
  <a href="http://tarponmedia.com/rsts/wp-content/uploads/2015/12/fw9.pdf" target="_blank">Download a Blank W9</a></p><br />
  [memb_upload_filebox rename="W9 – {{contact.firstname}} {{contact.lastname}} – {{date.Y-m-d}}" success_tags="1962"]<br />
  <br/></p>
<p>Or you can fax or email to:<br />
<br/><br />
<strong>Fax:</strong> (303) 428-3949<br />
<br/><br />
<a href="mailto:jv@tarponmedia.com">jv@tarponmedia.com</a><br />
<br/><br />
<br/> [/memb_is_logged_in][/custom_html]

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[custom_html]

Need to Change Your Password?

Need to Change Your Email?

[/custom_html]

[custom_html][memb_is_logged_in]<h4>Need to Change Your Password?<br/><br />
  </h4>[memb_change_password]<br/><br/></p>
<p><h4>Need to Change Your Email?<br/><br />
</h4>[memb_change_email][/memb_is_logged_in][/custom_html]

Add Element

Account Settings

Your Information

General Information

Address To Send Payments

Your Money

Click Here To See Sales, Commission Totals, Stats and More

Have you submitted your W9?

Need to Change Your Password?

Need to Change Your Email?

Click Here To See Sales, Commission
Totals, Stats and More