How should we contact you?
Name
*
Email Address
*
Phone Number
*
Zip Code
*
NOTE: All fields are required. We will contact you to verify your information and eligibility.
Submit Application
Application
Do you live in the United States?
(You must live in the US to qualify)
Yes
No
Do you have a Facebook account?
(You need a Facebook account to qualify)
Yes
No
Have you had your Facebook account for at least 4 years?
(Your Facebook account must be 4+ years old to qualify)
Yes
No
Do you have a computer at home?
(You need a computer to qualify)
Yes
No
Do you have high-speed Internet access at home?
(You need high-speed Internet access to qualify)
Yes
No
Do you have a PayPal account to accept payments?
(A PayPal account is required to get paid)
Yes
No -- but I can set up an account
No -- and I don't want an account
Have you, or anyone else ever used your Facebook account for running ad campaigns?
Yes
No
I don't know
How often do you use Facebook?
Every day
4-6 days a week
1-3 days a week
Once in a while
Never
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