AFFILIATE PROGRAMS - The Monster of Affiliate Marketing Network

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First Name

Last Name

Company Name

Phone

Fax

Address

City

Zip

State

Country

Instant Messengers

If you use IMs such as MSN, Yahoo, Skype or ICQ, please specify your IM type and username here for speedier communications

Website Name

Website URL

Description

Monthly Sales (USD)

No. of Products

Current Affiliate Program

If your site currently has an affiliate program, please provide information on the affiliate network

Exclusivity

Are you willing to make AffiliateBot your service’s exclusive affiliate network?

Yes No

Tracking

Which is your preferred lead/sale tracking method?

Pixel Code API Callback Batch Reporting Not Sure

Customer Billing

Would you like to use AffiliateBot for billing your products?

Yes No

Commission Structure

If your site currently has an affiliate program, please provide information on the affiliate network

Demographics

Do you have any restrictions on traffic, i.e. only accepting customers from specific countries or age group?

Additional Information

Please let us know if you have additional requests or enquiries