AI-25 Applications

Full Name

Phone No.

Location/City

LinkedIn Profile URL

Facebook Profile URL

Professional Category

Brief Professional Bio

Brand/Business Name

Select Preferred Domain Extension

Preferred Domain Name

What is the primary goal of your website?

Upload Your Brand Logo Here and Other Brand Materials like flyers (up to 5 files 5MB each)

Why should you be selected for this offer?

Agreement Check both boxes if you agree with these terms)

I understand this is zero service fee, and I only pay for domain and hosting I confirm I fall within the eligible professional categories*