Business Affiliate Request

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    Business Affiliate Request*

    Select your Business Affiliate account main activity*
    (Business to Business or Business to Consumers)

    Paste/write product/service related Description*

    Paste/write product/service related Amenities*

    Insert max. 15 Search-Keywords product/service related*

    Select product/service Main Category within*

    Or suggest Main Category

    Select product/service exclusive for main category (if -NONE- nor suggestion above is selected/inserted)*
    yes pleaseno thanks

    Select topic/item or product/service Subcategory*

    If previous selected: -suggest Subcategory- , insert it here

    Select topic/item or product/service Detail Category*

    If previous selected: -suggest Detail Category- , insert it here

    Select your pricing model & current price offer (US $)*

    Upload your Affiliate Agreement and/or if you firstly prefer your NDA here

    Upload your product/service terms, warranty and conditions here

    Upload 3 product/service example/sample images (All photos: HD | JPEG | min/max. 1024X683px | 2 MB)

    Photo 1*

    Photo 2*

    Photo 3*

    Upload high quality (Company) Logo* (PNG max. 250X450px | 2 MB)

    Upload your high quality (Company) Favicon* (PNG min/max. 50X50px | 250kB)

    Upload a high quality Video if available (HD | MP4 | AVI | compressed to max. 5MB)

    Your Surname*

    Your First Name and related Initials*

    Current (Company) Name for this Account*

    Your (Company) Address and Number*

    Country of Residence*

    Your email, used also for confirmations*

    Telephone Number Fixed*

    Telephone Number Mobile*

    Select account active period of month(s)* (based on views, clicks & sales)

    By monthly settlement in US $
    By quarterly settlement in US $*

    Agree to settle views and/or clicks and/or sales conversion per further determined fixed costs agreement by pro forma Internet Marketing (IM) deposit*

    If previous selected: -add larger Internet Marketing deposit- , insert it here

    You hereby do agree to our Terms & Conditions at footer linked*

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