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Payee: Please
enter contact information for the person or company to whom we should make checks
payable to. |
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Payee name: |
Enter the name exactly as it should appear on the check. We
will use the Payee name to create a unique Associates ID for you with a maximum length
of 3 characters.
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Payee email address: |
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Address line 1: |
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Address line 2: |
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City: |
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State, province, or region: |
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Zip or postal code: |
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Country: |
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Phone number: |
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Payee Tax Information (for U.S. citizens or residents): Please
enter your U.S. social security number (for individuals) or U.S. tax ID (for corporations).
This application is not on a secure connection - Send this particular information
via email if you feel uncomfortable placing it here. |
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Tax ID Number: |
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Tax Classification: |
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Contact: Please enter contact information
for the person responsible for maintaining your Web site. For most Associates, the
Payee and Contact are identical. |
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Contact name: |
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Contact email address: |
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Address line 1: |
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Address line 2: |
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City: |
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State, province, or region: |
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Zip or postal code: |
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Country: |
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Phone number: |
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Choose Your Payment Method |
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Pay me by Direct Deposit via PayPal ($10.00 minimum earnings)
PayPal Account:
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Pay me by check ($25.00 minimum earnings.) US ONLY. |
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Describe Your Web Site |
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What is the name
of your Web site? |
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List your Web site URLs you intend to place a Special Link in.
Please enter the URLs one per line. |
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How did you learn about the Associates Program?
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Additional Information |
Description & comments:
Briefly describe your site (try to keep this under 10 lines or so) |
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