| Affiliate Account |
 Home URL: |
|
| Type of website: |
|
| Do you operate on a full time basis?: |
Yes
No
|
| Type of Industry (Max 3): |
|
| Primary gender of your visitors: |
|
| Visitor age group: |
|
| Do you operate a newsletter or mailing list?: |
Yes
No
|
| How many subscribers do you have in total?: |
|
| What is your monthly marketing budget?: |
|
| What is the number of unique visitors to your site?: |
|
