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List Publisher Profits Partner Application: Only 50 Will Be Accepted

What you get...

1. "List Publisher Profits LIVE!" (Value $10,000) - Our 50 chosen list publishing partners will be invited to a private 3 day workshop and network event in Las Vegas with our "TheHomeBusinessAgency.com" team and our top publishers to take your business to the next level. You'll learn advanced marketing tactics live and in person and you'll leave with a custom "Invisible Funnel" marketing funnel completed.

2. "Instant Ad Swap Community" (Value $10,000) - You and the other 49 chosen partners will work together in our ad swap community to help you each other grow each others list. Your private list concierge will provide you with two new ad swaps from the group per day, your only job is schedule them to go to build your list. Simply following this plan will lead you you generating an additional 100+ leads per day by day 30.

3. "Maximum Click Funnel" (Value $2,997)- We'll create a unique landing page and solo with you to help you maximum your clicks and profits for your new list publishing business.

4. "Invisible Funnel License" (Value $20,000) - We will license our 4 most profitable invisible funnels to you to sell and keep 100% of the profits on the front end and 50% of the profits on the backend one time offer sequence.

5. "TheHomeBusinessAgency.com Exclusive Contract" (Value $50,000+ Per Year) - Once you list can deliver 333 clicks per day we will sign an exclusive contract with our agency where we will purchase 1 day per day from you monthly guaranteeing you a consistent monthly income.

6. "Agressive Roadmap To 333 Clicks In 60 Days Or Less" (Value $997)- Our top list publishers will coach you online through a series of 6 weekly webinars to 333 clicks per day in the least amount of time capitalizing on all profit opportunities along the way.

7. "30 Day Guaranteed Income" (Value $500 - $2,000) - At the end of the 30 days in our "List Publisher Profits" ad swapping partner community we will purchase a test ad from your list take the clicks we generate and multiply it by 30 and wire you funds for those clicks at the end of your first month.

8. "Instant Profit Newsletter Content" (Value $997)- You will receive my top 365 emails to jump start business and we will continue to produce exclusive content for the members of our community available monthly

9. "List Publisher Business Brokering" (Priceless)- If you come to the point where you'd like to sell your list publishing business we'll use our extensive list of contact to find and broker the transaction for your exit.

10. "List Publisher Profits License" (Value $2,500)- When we open out community to more than than initial 50 partners you will have exclusive rights to introduce new people to the partnership and earn a $1,250 bounty per new accepted member.

11. "Your Seed List" (Value $70,000) - We'll co-op your ad cost to build you a 5,000 to 10,000 list at cost without our own $1M traffic and leads at 100 people per day to accelerate your list publishing profits business.

12. "$100 Autoresponder Rebate" (Value $100 )- We'll offer you a $100 rebate to more than double the cost of your monthly GVO autoresponder.

---------------

Total Value: $169,591!

To apply for the program please send me a private email to da3gan[at]gmail.com and share why you feel like being accepted as a membership of this program is the right decision for you at this point in time for your business. Please share full contact information and any business experience you've had so we can get a feel for you. This will be a long term relationship so it is important you share everything you can about yourself to give yourself the best chance of being accepted.

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43 Responses to List Publisher Profits Partner Application: Only 50 Will Be Accepted

  1. Jamaul Finley July 21, 2012 at 11:49 pm #

    IM ALL IN!

  2. Marquel Chill Gates Russell August 8, 2012 at 12:52 am #

    Marquel Russell
    ML Affiliate Username: mrussell.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="d485c99f2fa6" />.
    <input type="hidden" name="FormId" value="87793" />.
    <input type="hidden" name="AffiliateName" value="marquelrussell" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87793&quot; />.
    </form>

  3. Bobbi Doubet August 8, 2012 at 1:35 am #

    Wow Jason – you're fast . . . Thank you!

  4. Alisia Bradshaw August 8, 2012 at 2:23 am #

    Alisia Bradshaw

    ML Affiliate code = themoney.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="861fa5367717" />.
    <input type="hidden" name="FormId" value="87573" />.
    <input type="hidden" name="AffiliateName" value="themoneyladie" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87573&quot; />.
    </form>

  5. Jabari Courtney August 8, 2012 at 3:39 am #

    Jabari Courtney
    ML Affiliate : IBARI.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="ff715c9652f4" />.
    <input type="hidden" name="FormId" value="87859" />.
    <input type="hidden" name="AffiliateName" value="ibari" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87859&quot; />.
    </form>

  6. Jessica Lefebvre August 8, 2012 at 4:09 am #

    Jessica Lefebvre
    ML Affiliate Username: lefebvre.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="579f444fb9a2" />.
    <input type="hidden" name="FormId" value="87853" />.
    <input type="hidden" name="AffiliateName" value="jjlefebvre" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87853&quot; />.
    </form>

  7. Eric Irby August 8, 2012 at 4:16 am #

    Eric Irby

    ML Affliate username irby2020.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="029cc455c56b" />.
    <input type="hidden" name="FormId" value="87827" />.
    <input type="hidden" name="AffiliateName" value="irby2020" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87827&quot; />.
    </form>

    ML Affliate username irby2020.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="029cc455c56b" />.
    <input type="hidden" name="FormId" value="87827" />.
    <input type="hidden" name="AffiliateName" value="irby2020" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87827&quot; />.
    </form>

  8. Anne Marie S August 8, 2012 at 4:21 am #

    Jason, Thanks for setting me up so quickly. I already have 23 on my list.

    I'm not sure what the problem is with the picture. I used the facebook link which I thought was what Daegan was showing us. I will try to fix it.

    Thanks again,
    Anne Marie

  9. Jeannette Van Well Groeneveld August 8, 2012 at 5:31 am #

    Jeannette van Well Groeneveld.

    ML Affiliate Username: Jean101.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="326cab11dca0" />.
    <input type="hidden" name="FormId" value="87869" />.
    <input type="hidden" name="AffiliateName" value="Jean101" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Hello friend, My friend Daegan Smith found you online. I will be mailing you regularly and keep in touch with you. Best regards, Jeannette" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87869&quot; />.
    </form>

  10. Thomas Tom Owen August 8, 2012 at 6:10 am #

    Tom Owen ML User I.D. tsowen

    Daegan Smith HTML 200 Leads.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="8d329e036a89" />.
    <input type="hidden" name="FormId" value="87797" />.
    <input type="hidden" name="AffiliateName" value="tomowen" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87797&quot; />.
    </form>

  11. Joe North August 8, 2012 at 6:16 am #

    Hi All,
    ML user name is joenorth.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="86fd2d5762b7" />.
    <input type="hidden" name="FormId" value="87761" />.
    <input type="hidden" name="AffiliateName" value="joenorth" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87761&quot; />.
    </form>

  12. Billie Bernard Josey August 8, 2012 at 6:31 am #

    Billie Josey

    ML Affiliate Username: bjosey.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="543a1f57123e" />.
    <input type="hidden" name="FormId" value="87875" />.
    <input type="hidden" name="AffiliateName" value="billiebjosey" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87875&quot; />.
    </form>

  13. Lisa N. Curry August 8, 2012 at 7:17 am #

    Lisa N. Curry… ML affiliate Username: lcurry.
    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="58adb18bfe5d" />.
    <input type="hidden" name="FormId" value="87879" />.
    <input type="hidden" name="AffiliateName" value="lcurry" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87879&quot; />.
    </form>

  14. Reginia Carty August 8, 2012 at 7:19 am #

    Hi guys
    My Affiliate name is reginia.

    I had to wait till I got off work. Sorry about that.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="c8a163357360" />.
    <input type="hidden" name="FormId" value="87877" />.
    <input type="hidden" name="AffiliateName" value="reginia" />.
    <table align="center">
    <tr>
    <td>:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Click Here!" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87877&quot; />.
    </form>

  15. Reginia Carty August 8, 2012 at 7:23 am #

    I Do have a question though. Are you going to send them out the boot camp they signed up for in the Opt in or do I need to? I did set up a welcome email but I wasn't sure about that. I know we need to email them ourselves but I was wondering about the promises made on the optin form you showed us. Thanks

  16. Shey Marler August 8, 2012 at 8:19 am #

    Hope I'm not too late.

    Shey Marler

    ML Affiliate Username: rpmktg.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="59979e8b589d" />.
    <input type="hidden" name="FormId" value="87889" />.
    <input type="hidden" name="AffiliateName" value="rpmktg" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87889&quot; />.
    </form>

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.

  17. Theresa Jordan August 8, 2012 at 1:13 pm #

    I already have an account setup and hope I can use the same one.
    Theresa Jordan
    ML Affiliate Username: theresa2.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="15f9e3139e0a" />.
    <input type="hidden" name="FormId" value="49242" />.
    <input type="hidden" name="TrackerName" value="Daegon" />.
    <input type="hidden" name="AffiliateName" value="theresajordan1" />.
    <table align="center">
    <tr>
    <td>Full Name:</td><td><input type="text" name="FullName" /></td>.
    </tr>
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=49242&quot; />.
    </form>

  18. Marquel Chill Gates Russell August 8, 2012 at 1:45 pm #

    Thanks, Jason! You Rock!

  19. Jeannette Van Well Groeneveld August 8, 2012 at 2:36 pm #

    Jason, thankyou thankyou thankyou :)

  20. Deng Jing Rong August 8, 2012 at 2:40 pm #

    Hi Jason, leads start already? How am I track the opt-in are from your leads? I also have other opt-in from other solo ads I purchase.

  21. Anne Marie S August 8, 2012 at 6:19 pm #

    Hey Jason!
    Thanks so much for fixing the picture! When I tried last night I saw there was still a problem. This morning, not realizing you had already fixed it, I went back to the webinar replay and realized what I had misunderstood. When I logged in to my profile to take care of it — Surprise! It was already done.
    Thanks again!!!
    Anne Marie
    p.s. Even though it is spelled as two words, I'm called "Anne Marie" rather than "Anne"

  22. Jabari Courtney August 8, 2012 at 6:39 pm #

    preciate it

  23. Emma Dunphy Dingman August 8, 2012 at 7:16 pm #

    Username; dingm

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="2cfdb62e05ac" />.
    <input type="hidden" name="FormId" value="87997" />.
    <input type="hidden" name="AffiliateName" value="dingm" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87997&quot; />.
    </form>

  24. Emma Dunphy Dingman August 8, 2012 at 7:47 pm #

    Ok great, thanks!

  25. Tahir Leonard August 8, 2012 at 8:04 pm #

    Tahir Leonard

    Affliate ID: startanu.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="5ac7116c441b" />.
    <input type="hidden" name="FormId" value="66444" />.
    <input type="hidden" name="AffiliateName" value="startanu" />.
    <table align="center">
    <tr>
    <td>Full Name:</td><td><input type="text" name="FullName" /></td>.
    </tr>
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=66444&quot; />.
    </form>

  26. Andrea Goodsaid August 8, 2012 at 10:45 pm #

    Andrea Goodsaid

    ML Affiliate Username: andrea.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="c34b7323b542" />.
    <input type="hidden" name="FormId" value="88041" />.
    <input type="hidden" name="AffiliateName" value="amsherpa" />.
    <table align="center">
    <tr>
    <td>Full Name:</td><td><input type="text" name="FullName" /></td>.
    </tr>
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=88041&quot; />.
    </form>

  27. Andrea Goodsaid August 8, 2012 at 10:46 pm #

    oops affiliate has no period

    ML Affiliate Username: andrea

  28. Alisia Bradshaw August 8, 2012 at 10:46 pm #

    thanx for everything!!!

  29. Randal Levels August 8, 2012 at 11:23 pm #

    Randal Levels

    ML Affiliate Username: rlevels.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="5bbe3a2573e9" />.
    <input type="hidden" name="FormId" value="88039" />.
    <input type="hidden" name="AffiliateName" value="ranlevels" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=88039&quot; />.
    </form>

  30. Theresa Key August 9, 2012 at 7:04 am #

    Theresa Key

    ML Affiliate Username: thekey07.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="397e65f15030" />.
    <input type="hidden" name="FormId" value="88121" />.
    <input type="hidden" name="AffiliateName" value="theresakey" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=88121&quot; />.
    </form>

  31. Deng Jing Rong August 9, 2012 at 10:58 am #

    I am using my existing form so I am not able to track your leads. I also got Opt-Ins from other solo Ads. Any other ways to tracks. Please Advise.

  32. Andrea Goodsaid August 9, 2012 at 1:43 pm #

    one question Jason – I saw the thread about getting a second affiliate ID for GVO integration… should I have done that for this project?

  33. Andrea Goodsaid August 9, 2012 at 2:10 pm #

    awesome ty :)

  34. Suzanne Noonan August 9, 2012 at 9:08 pm #

    Suzanne Noonan

    ML Affiliate Username: Suzanne.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="72f485ae712c" />.
    <input type="hidden" name="FormId" value="87983" />.
    <input type="hidden" name="AffiliateName" value="suznoonan" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=87983&quot; />.
    </form>

  35. Cindy Robinson August 10, 2012 at 2:37 pm #

    Daegan Smith

    My Affliate Username: Cindy Robinson.
    ="post" action="http://gogvo.com/subscribe.php"&gt;
    <input type="hidden" name="CampaignCode" value="77013c32c25e" />.
    <input type="hidden" name="FormId" value="88399" />.
    <input type="hidden" name="AffiliateName" value="cindyrob" />.
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://gogvo.com/show_form.php?id=88399&quot; />.
    </form>

  36. Suzanne Noonan August 10, 2012 at 5:05 pm #

    Thanks guys!

  37. Rasheed Bolade-Rh August 10, 2012 at 5:40 pm #

    Sorry this is so late however I was on vacation and missed the webinar.

    Rasheed Bolade

    ML Username: weheartu

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;
    <input type="hidden" name="CampaignCode" value="5e9b6388a6f1" />
    <input type="hidden" name="FormId" value="88417" />
    <input type="hidden" name="AffiliateName" value="weheartu" />
    <table align="center">
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>
    </tr>
    <tr>
    <td align="center" colspan="2">
    <input type="submit" value="Submit" /></td>
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=88417&quot; />
    </form>

  38. Randal Levels August 10, 2012 at 6:15 pm #

    Thanks Jason Gazaway! Really appreciate it.

  39. Hassan Noory August 11, 2012 at 7:50 pm #

    Hello how was it work

  40. Graeme Pearce August 12, 2012 at 3:50 am #

    Graeme Pearce,

    ML user name: amped.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="a9a444894290" />.
    <input type="hidden" name="FormId" value="72098" />.
    <input type="hidden" name="AffiliateName" value="amped" />.
    <table align="center">
    <tr>
    <td>Full Name:</td><td><input type="text" name="FullName" /></td>.
    </tr>
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=72098&quot; />.
    </form>

  41. SCharles Troutman August 13, 2012 at 3:04 am #

    ok is it too late?

  42. SCharles Troutman August 13, 2012 at 3:04 am #

    I just saw this and it's been a while

  43. Mykho Amr August 13, 2012 at 4:40 am #

    My apology guys for the late update as I just came back from overseas and got the email last night. Hope I'm not late for the gift.

    Thanks a lot Daegan & Jason.

    Ayrul Md Rashid.

    ML Affiliate Username: aymaq.

    <form method="post" action="http://www.gogvo.com/subscribe.php"&gt;.
    <input type="hidden" name="CampaignCode" value="571844ef6509" />.
    <input type="hidden" name="FormId" value="73620" />.
    <input type="hidden" name="TrackerName" value="Imperial_Leads" />.
    <input type="hidden" name="AffiliateName" value="AyrulMdRashid" />.
    <table align="center">
    <tr>
    <td>Full Name:</td><td><input type="text" name="FullName" /></td>.
    </tr>
    <tr>
    <td>Email:</td><td><input type="text" name="Email" /></td>.
    </tr>
    <tr>
    <td align="center" colspan="2">.
    <input type="submit" value="Submit" /></td>.
    </tr>
    </table>
    <img src="http://www.gogvo.com/show_form.php?id=73620&quot; />.
    </form>

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