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Primary Email: Please enter the email address that we should use for all correspondence regarding payments, news, and more. This will be the single email address associated with your account. |
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Primary Email:
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Password:
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Confirm Password:
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Payee: Please enter contact information for the person or company to whom we should make checks payable.
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Payee Name:
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Address Line 1:
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Address Line 2:
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Address Line 3:
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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, residents, and organizations): If you are an individual, please enter your U.S. Social Security number and your name; if you represent an organization, please enter its IRS employer identification number (EIN) and the organization's name.
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Tax ID Number:
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Tax Registration Name:
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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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Check here if your Payee and Contact information are identical, and then skip to
the next section.
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Contact Name:
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Address Line 1:
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Address Line 2:
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Address Line 3:
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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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Describe Your Web Site |
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What is the name of your Web Site?
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List your Web Site URL(s)
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How did you learn about the Affiliate Program?
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Description and Comments:
Briefly describe your site, including the type of items you intend to list. ( Please try to keep this under 10 lines or so)
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