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  AFFILIATE PROGRAM
 
Affiliate Application

Site Info
Enter a name for your site and provide its URL address.
Site Name:
URL:
Confirm URL:

Primary Contact
Enter the contact information for the person who will receive all communications concerning the affiliate program.
Name:
Title:
Phone:         Fax:  
E-mail:
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Pay To Information
Enter the name that you want to appear on the commission checks.
Pay To Name:
Enter the primary contact's mailing address.
Address 1:
Address 2:
City:
State:
Province/Other:
Postal Code:
Country:
What is your business tax classification?
Tax Identification Number [Business/Individual]:

Please provide a preferred username and password for future on-line reporting:
Enter a user name and password. You will use this log on to access Reporting.net.
Requested Username:
Your password must be different from your user name, contain between eight and 30 characters, and have at least one number and one letter.
Requested Password:
Confirm Password:

Important Information
What is the primary categorical classification of your web site?
What are the categorical classifications of your web site?
Auto Corporate Info Directories
Education Entertainment Family/Lifestyles
Finance Government News and Information
Online Communities Personal Search Engines
Shopping Sports Sweepstakes/Coupons
Telecommunications/Internet Travel


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