 |
Web Site Information |
 |
|
| | |
Your Web Site URL:
|
|
Does your site offer incentives to users?
Yes No
|
|
| | |
|
Contact Information |
|
|
| | |
First Name:
|
|
Last Name:
|
|
Company Name:
|
If applicable
|
Title:
|
|
E-mail Address:
|
Valid Email REQUIRED for password retrieval.
|
| | |
|
Payment Information |
|
|
| |
|
Affiliate Program Type:
|
|
Checks Payable To:
|
|
Address:
|
|
City:
|
|
Zip Code:
|
|
State:
|
U.S. residents only.
|
Country:
|
Note for U.S. residents:
In order to comply with IRS regulations, we'll request that you send us a Tax ID/SSN
once your earnings exceed $500.
|
| | |
|
Account Information |
|
|
| | |
Username:
|
Minimum 3 characters, not case-sensitive.
|
Password:
|
Minimum 4 characters, letters and numbers only. Password is case-sensitive.
|
Verify Password:
|
|
| | |
|
Cashfiesta Publisher Agreement |
|
|
| | |
By submitting your registration information, you indicate that you agree with the Cashfiesta Publisher Agreement.
|
