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--- Website Information ---
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Website Name
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*
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Website URL
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*
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Website Categories
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Choose up to 3 categories
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Brief Description of Website
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Website Stats
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*
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Website Visitor Demographics
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Gender *
Mostly Female
Mostly Male
Both
Age
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Does your Website...
Require a login?
Yes
No
Offer rewards/compensation?
Yes
No
Donate a portion of proceeds to an organization?
Yes
No
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Do you manage more than one Website?
Yes
No
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--- Contact Information ---
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First Name
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*
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Last Name
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*
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Email Address
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*
*
We will send your username and password to this email address. Please type email address twice to confirm.
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Phone Number
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*
Use numbers only - no dashes, parentheses, etc.
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Mailing Address
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*
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City
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*
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State or Province
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*
If Other, please specify
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Zip or Postal Code
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*
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Country
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*
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--- Payment Information ---
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IMPORTANT: Please read the information in this section carefully and ensure that the information you enter is correct. Failure to do so may unnecessarily delay commission payments to you.
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Make Checks Payable To:
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*
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By federal law, LinkShare is required to maintain Taxpayer Identification Numbers (TIN) for U.S. persons and firms to whom LinkShare makes disbursements. The number you provide MUST correspond to the payee you have identified above. For individuals, this number is your Social Security Number (SSN). For other entities, it is your Employer Identification Number (EIN).
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Taxpayer Identification Number
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*
Required of all U.S. residents. Enter your nine-digit Tax ID number with no dashes.
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Taxpayer Identification Number Type
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*
Required of all U.S. residents.
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Tax Classification
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*
Required for payment purposes
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Owner Name (For Sole Proprietorships only)
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Required of sole proprietorships.
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Please double check the information you have entered above for accuracy.
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By clicking Accept at the bottom of this registration page, you agree to the terms and conditions of our Agreement ( above ) and you certify that the information you have entered in the above fields is correct .
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* Required Fields
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