EmailMeForm
"This Is My Hood" Application Form
Have A Game Rep? If so enter their Rep ID below, and if approved to be in the game, you may qualify for our 2 for 1 deal!!! Basically if you and a friend both decide to get in the game and both of you are approved, we will let you BOTH IN for the price of just ONE of you. So, basically you get in HALF PRICE.
All we really had to say was it is a 50% off Hook-Up huh? :)
Game Rep ID
Game Rep Name
Who would you like your 2 for 1 to be with?
Brand Partner and Environment Sponsors Only
Business Name
Contact Person
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Non Storefront Sponsor Applicants Only
Name
(Business Name or YOUR Name if you are an Entrepreneur, Singer, Rapper, Artist, Photographer etc.)
ALL APPLICANTS Please Complete Below
Phone Number
###
-
###
-
####
Email
What Do You Do????
OK, tell us what you do. Give us details. Paint a good picture for us.
We need to get a feel for who you are so we can approve you to be in the game. Fill out the below fields so we can peep things out and see how you are representing and doing your thing!
Website
Instagram
Facebook
Twitter
List any additional social media for the company (ie Youtube, Flickr, Google+, Vine, Dat Piff, etc.)
The Bottom Line
Why should we approve you for inclusion in "This Is My Hood"?
Why YOU? Space is limited, so we want the right businesses and people. So, tell us. Why should we choose.....YOU?
Person submitting form.
Date
*
MM
/
DD
/
YYYY