"Review Crew"
            Application     

















A subsidiary of Comprehensive Counseling & Consulting, LLC


 

   

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone:

Cell:

Age:

URL for your blog:
How often do you post to your blog?
Number of monthly visitors to your blog:
Facebook name or facebook fan page name:
How many friends/fans do you have on your facebook page?
Twitter name:
How many followers do you have on your twitter account?


Are you affiliated with any other organized review program?
If you are affiliated with any other review or awards program, please describe:
Why would you like to be a member of Kidlutions(tm) "Review Crew"?
What is your email address?
STEP 2.  You must fill out the following completely.  This is the only way we have of contacting you and updating you about the awards, giveaways, etc.  We won't bother you often, but if you don't have this information on this form, we can't contact you at all!  We know some
of it is redundant, but there is a method to our madness!

I have read the above and agree to the terms:
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Press submit.  Your submission will be confirmed.  Click the arrow back to this page to complete step 2.
Step 1. Fill out the following fields completely.
 

Kidlutions    101 North Beecher Street     Bessemer, MI  49911

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The application is completed in two steps. 
Be sure to follow the directions to complete both steps!
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