I am... | a publisher an advertiser |
Type of Account | |
Contact Information |
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First Name | |
Last Name | |
Company Name (Checks Payable To) | |
Street/Suite | |
City | |
State/Province | |
Country | |
Zip/Postal Code | |
Work Phone Number (e.g. 5554614120) | |
Cellphone Number | (optional) |
Fax Number | |
Email Address | |
AIM Screen Name | (optional) |
Preferred Method of Communication | |
Payment Information |
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Checks Payable to | |
Tax ID/SSN | |
Publishing Information |
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Which type of traffic will you be generating? |
Email Search - PPC Search - SEO Display - Banners Display - Text Links Affiliate Network |
Is your traffic incentivized? | No Yes |
Website URL | |
Description of Website | |
What other Affiliate Networks do you currently work with? | (optional) |
What types of campaigns currently work for you? | (optional) |
Login Information |
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Choose Your Username | |
Password | |
Re-type Password | |
How did you hear about us? | |
Terms and Conditions |
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I have read and agree to be bound by the AdDrive Terms and Conditions | |
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