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Partner Information
Step 1 of 2
Please fill out your contact information and details about your company so we can create your account. The information on this page will be used to drive all communication between our organizations.
1. Partner Information
2. Service Agreements
Organizations outside the U.S. please
contact us
.
Login Email
This will be the email address to log in and receive all account information
Password
(Max length 10)
Confirm Password
(Max length 10)
Company Name
Corporate Website
Please Describe Your Business
Media Contact Information
Name
Street Address
City
State
SELECT
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Email
Phone
(###) ###-####
Secondary Phone
(optional)
Fax
(###) ###-####
Instant Messenger
(optional)
Select
AOL
MSN
ICQ
Yahoo
Instant Messenger Handle
Billing Contact
Copy From Media Contact Information
Email
This contact will receive all information regarding payment and outstanding invoice notices.
Name
Street Address
City
State
SELECT
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
Phone
(###) ###-####
Fax
(###) ###-####
Company Information
Tax Id / SSN #
Date Founded
MM/DD/YYYY
Number Of Employees
CEO / Business Owner
Copy From Media Contact Information
Name
Email
Phone
(###) ###-####
Additional Principle Two
(optional)
Name
Email
Phone
(###) ###-####
Check the Traffic Sources You Use
Email
Please list all the IP addresses you use
Do you use single or double email opt-in?
Select
None
Single
Double
Other
How often do you mail your email lists?
Select
More than once a day
Daily
Multiple Times A Week
Weekly
Monthly
Display
Please provide the URLs to your site(s)
If purchased on exchanges, please list those networks
How many monthly impressions do you serve?
Search
What types of search engines do you use?
Select
Organic
PPC
Both
Select which search engines you use
Google
Yahoo
MSN
Ask:
Mamma
Miva
Other Search Engine:
Contextual
Please list the contextual web sites you purchase from?
Social Media
List the social media portals you purchase from?
Do you use social media applications?
List the social media applications you use
Do you use virtual currency?
Do you provide an incentive to your traffic?
Which types of incentive do you use?
Cash
Virtual Currency
Free Products
Membership Points
Other