Princess and Pirate Parties, Inc.
Affiliate Application
Be Your Own Boss - Home Business

After completing the application, please feel free to call Ruth at 888-Bday-678

Name	Mrs. Ms.  Mr.	Current Occupation Current Income	annual incomeless than $10,000/year$10K-$20K$20-30K$30-40K$40-50K$50-75K$75-100KMore than $100K
Birthday	monthJanFebMarAprMayJunJulAugSepOctNovDec date12345678910111213141516171819202122232425262728293031 yearunder 21 years oldtwenty something29 foreverthirthy something39 forever40 somethingthe big 50over 50	How much can you initially invest? How much can you invest monthly?	initial $less than $500$500$1000$5000$10,000$15,000$20,000More than $20K monthly $less than $100$200$300$500more than $500
Home Phone		Work or Cell Phone
Home Address
City		State	Zip Code
Family size	per home2 parents 1 child2 parents 2 children2 parents 3 children2 parents 4 children2 parents 5 children1 parent 1 child1 parent 2 children1 parent 3 children1 parent 4 children1 parent 5 childrenother	Closest Major City	Yes No
E-mail Address		How did you hear about this web site?
Comments, questions and requests		Please tell me about yourself and your family including past, present and future.		Your tattoo will be sent within 2 weeks.

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E-mail any additional questions or comments to: ruth@4mybday.com