Affiliate Application Form
Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal Code (Zip):
Country:
Phone:
Fax:
Email:
Confirm Email:
Please double check your email address in the above field, as this is where we will be sending you all of your information.

Payee Contact Information

Please fill in the name and mailing address of the person to whom we should make out and send payment checks. This information is automatically imported into our database, so what you input here will determine name on monthly check as well as where check is mailed.

Click here if info is same as Admin info
Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal:
Country:
Phone:
Fax:
Email:
Password :

Password (confirm):

Website URL:
Website Title:

Website Description:

   

Note: The Operating Agreement clearly forbids advertising via unsolicited bulk email. Such unsolicited "spamming" will result in immediate termination of Affiliate privileges and participation. We attempt to maintain the highest standards of quality and ethics for customers and Affililiates. This includes both common courtesy and acceptable Internet protocols.
IMPORTANT

In the next 7 business days (if approved) you will receive an E-mail with your ID number that will be tracking your sales and commissions.

You will also be sent your custom URL that you will use to link to our site. If your ID number was 123456 your custom URL would look like this:
http://www.EzFeeeLeadsPro.com/cgi-bin/at.cgi?a=123456

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