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Affiliate Signup Form
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Home URL
The URL of your website |
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Type of web site |
Business
Personal |
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If your website is Business oriented, do you
operate it on a full time basis? |
YesNo |
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List up to three categories that most relate to
your web site content |
Real
Estate
Mortgage
Temporary
Housing
Household
Goods
Relocation
International
Other
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Primary Gender of your site visitors |
FemaleMale |
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Visitors Age Group |
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Do you operate a newsletter or mailing list? |
YesNo |
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If you do operate a newsletter(s) or mailing
list(s), how many subscribers do you have in total? |
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What is your monthly marketing budget? |
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What is the number of monthly unique visitors to
your site? |
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User Particulars
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E-mail (you'll use this to log in) |
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Password
The Password to login to your Affiliate Account |
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| Contact Name |
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Payee Name(The check will be made payable to this
name) |
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Company/Organization |
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Address
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Street |
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City |
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State |
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Country |
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ZIP |
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Contact
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Phone Number |
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Fax Number |
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To
confirm your signup and registration, click on the "Proceed"
button
