Team Member Sign Up Form

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Benefit Wines has teamed up with the members of Team in Training for the Leukemia and Lymphoma Society to provide event participants a unique and flavorful way to raise funds for their team. Participants can sign up for their own unique affiliate link to promote
Wines For A Cure offered by Benefit Wines. Profits from every sale will be credited to the team member's total fundraising efforts.
To get started, please complete the form below. You will receive your affiliate link within 24-48 hours to use in your personal promotions. Cheers!

Event Participant Information:

First Name: Last Name:
Address:
Address2:
City:             State:     Zip Code:
Phone:       ( )-      Alternate Phone: ( )-
Email:
Team Name/Organization:

Terms of Program:
Team Members electing to promote Wines For A Cure benefiting the Leukemia and Lymphoma Society agree to submit their personal contact information to Benefit Wines for the purpose of establishing a unique URL dedicated to the participant's marketing efforts. Upon receipt of this information,Benefit Wines will establish an affiliate link to be used by the participant in any promotion efforts including, but not limited to banner links, email links, social networking links, website links, etc.. Any donations accrued will be credited to the participant provided the affiliate link is used as directed. Failure to use the affiliate link appropriately may result in donations not being credited to the individual participant, however the donation will still be made to the Leukemia and Lymphoma Society. The affiliate link, complete instructions and suggestions on how best to promote this program to increase fundraising efforts will be sent to the participant by Benefit Wines within 24-48 hours of receipt of the above information.

I Agree To The Terms of the Program: Yes     No

Please enter the following code into the box provided: