ACCOUNT INFORMATION
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First Name:
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Last Name:
Company:
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Address 1:
Address 2 :
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City:
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State/Province/Region :
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Zip/Postal Code:
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Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde Islands
Cayman Islands
Central African Republic
Chad
Channel Islands
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holland
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Hong Kong
Hungary
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India
Indonesia
Iran
Iraq
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Israel
Italy
Ivory Coast (Cote d'lvoire)
Jamaica
Japan
Jordan
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Kenya
Kiribati
Korea, South
Kosrae
Kuwait
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Madeira
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mayotte
Mexico
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Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
Netherlands Antilles
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Ponape
Portugal
Puerto Rico
Qatar
Reunion
Romania
Rota
Russia
Rwanda
Saba
Saipan
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Barthelemy
St. Christopher
St. Croix
St. Eustatius
St. John
St. Kitts
St. Lucia
St. Maarten
St. Martin
St. Pierre and Miquelon
St. Thomas
St. Vincent and the Grenadines
Sudan
Suriname
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Tinian
Togo
Tonga
Tortola
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
Uganda
Ukraine
Union Island
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Gorda
Wake Island
Wales
Wallis and Futuna Islands
Western Samoa
Yap
Yemen
Zaire
Zambia
Zimbabwe
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
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Year
2010
2009
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1921
1920
Phone:
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Email:
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Confirm Email:
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Password:
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Confirm Password:
PAYMENT INFORMATION
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SSN or Tax ID (For US Affiliate Only) :
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Checks Payable To :
Pay me via PayPal instead of check.
SITE INFORMATION
Web Site name:
Web site URL:
Describe your web site or marketing strategy :
How do you plan to market our products? :
Pay per click
Pay per acquisition
Web site
Search engine optimization
Ad network / Banner network
Adware / Browser Plug-in
Blog
Other
AFFILIATE PROGRAM AGREEMENT
Terms of the agreement: This Agreement contains the terms and conditions that apply to a participant in our affiliate program (the "Affiliate program"). As used in this agreement, "we"/"our/"us", means "our company" and "you"/"your" means the "affiliate/applicant", "site" refers to a World Wide Web site. To begin the enrollment process, you will submit a complete affiliate application form. We will evaluate your application in good faith and will notify you of your acceptance or rejection, usually within 24 hours. (You can re-apply at any time). We may reject your application if we determine, in our sole discretion, that your site is unsuitable for the Affiliate program. Unsuitable sites include, for example, sites that: - promote sexually explicit materials - promote violence - promote discrimination based on race, sex, religion, nationality, disability, sexual orientation or age - promote illegal activities or violate intellectual property rights - or from applicants who we prefer not to be associated with We grant you a non-exclusive, revocable right to use our present banners and other such images for which we grant express permission, for the purpose of identifying your site as an Affiliate program participant and linking to our site. You may not modify the banners or any of our images in any way without our express permission. We reserve all of our rights to our trade names and trademarks and all other intellectual property rights. SPAM (unsolicited email) We will not tolerate the sending of unsolicited bulk emails which promote, or make reference to us, or any of its associated companies, partners, or employees. Other prohibited forms of advertising include postings to non-commercial newsgroups and cross-posting to multiple newsgroups at once. In addition, affiliates may not advertise in any way that effectively conceals or misrepresents their identity, their domain name, or their return email address. Any affiliate who, in our opinion, breaches this ruling will have their Affiliate status cancelled immediately and any and all outstanding commissions WILL BE FORFEITED. Stay Safe, Don't SPAM. UNPROFESSIONAL CONDUCT Our company and our associated companies operate with the strictest codes of professional conduct. Any Affiliate who brings us or its associates into disrepute, or who promotes any form of slander, racism, or unfair business practices, will have their affiliate status cancelled and any outstanding commissions WILL be forfeited. We reserve the right to reject any affiliate application if in our opinion, that person or company violates established laws or commonly held standards of decency. An affiliate, who ignores warnings to cease and desist any activities we deem negligent, inappropriate, or harmful, will be terminated. ORDER PROCESSING We will be solely responsible for processing every order for our products. Customers will use our secure online ordering process. Order forms, payment processing, shipping, cancellations, returns, and related customer service are our responsibility. All of our rules, operating procedures and policies regarding customer orders and accounts will apply to orders we receive through special links on your site. We reserve the right to reject any order that does not comply with our rules, operating procedures and policies. Every customer who buys a product through this Affiliate program is deemed to be a customer of ours. You do not have the authority to make or accept any offer on our behalf. All our policies regarding customer orders, including product availability, pricing, and problem resolution, will apply to these customers. We are not responsible for any representations made by you which contradict our policies. (See "Policies/Contact" link at bottom) TRACKING OF SALES We will be solely responsible for tracking sales we make to customers who follow links from your website. We use Interneka Affiliate. Statements of your sales activity will be available to you in "real-time" with a special URL that we assign to you, accessible 24 hours per day and 7 days per week. You may access these stats via a password and username we assign. Only two entities may access your stats and affiliate information. That would be you, and us. AFFILIATE LINKS We will provide you with a unique identifying URL for you to link to. Each sale or referral that is generated from this URL will be attributed to you. You will have access to your own private section to check your stats in Real Time. Your links to the unique URL can be text links or banner links, or a combination of the two, at your sole discretion. If you choose banner links, you must use our banners. We will provide you with a URL of all our banners, from which you can freely choose. You may add as many links to our website, or remove such links, at anytime and without prior approval from us. We will provide you with instructions on how to properly format the links. You are responsible for ensuring the links are formatted correctly. This will ensure accurate tracking of sales for credit to your account. Every effort will be made to ensure that our site is functional and available for customers referred to our site through your "affiliate link". We have NO responsibilities with regard to your site. We will have no liability for any indirect, incidental, special or consequential damages or any loss of revenue or profits arising under or with respect to this agreement or the Affiliate program. In addition, our aggregate liability arising under or with respect to this agreement or the Affiliate program shall in no event exceed total referral fees paid or payable to the affiliate under this agreement. TERM OF THE AGREEMENT The term of this agreement will begin upon our acceptance of your affiliate program application and your placement of our banner or textual link on your site and will end when terminated by either party. Either you or we may terminate this agreement at any time, by giving the other party written notice of termination. This will be in the form of "email". You can only earn referral fees on sales occurring during the term. We will never withhold any payment due. Upon termination of this agreement, the former affiliate must remove all affiliate links and graphics from its web site, and refrain from publishing same in any manner whatsoever. INCOME TAX LIABILITY You must understand and agree that you are acting as an independent contractor and as such will be responsible for your own Income Taxes and any other tax liabilities that affect the sales of our products in your state. By law, any commissions in excess of five hundred ninety nine ($599) dollars must be reported by us on a Federal Tax form (that's why we ask for your SSN-social security number). You will be sent this form and are required to sign and return to us before any 'further payment' to you can or will be made. MODIFICATION We may modify any of the terms and conditions contained in this Agreement, at any time and in our sole discretion, by posting a new agreement on our site. Any modifications will ALSO be notified, by email, to all participating affiliates. If any modification is unacceptable to you, you may terminate this agreement. Your continued participation in the affiliate program following notification of our new affiliate program will constitute binding acceptance of the change. CONFLICTS AND DISPUTES As with any Affiliate program, a conflict or dispute may occasionally arise due to tracking, orders, commission calculation, performance issues, and appeals regarding "termination for cause". - If a concern should arise, send an email stating your full name, your affiliate ID, your address and state the specifics of your concern. Include any dates or numbers that apply. We will investigate immediately and will reply as soon as possible. - Though we will be more than willing to settle the dispute in as fair a manner as possible we realize this situation may arise. In this case we will be open to mediation or arbitration to settle the matter. - We have NOT pre-selected a mediator or arbitrator. Should one be needed we will select a non-biased, third party moderator. This concludes the agreement. Thank you for taking the time to read it carefully. We look forward to working with you. By signing up for our affiliate program, you are in effect, agreeing to the above "affiliate agreement".
I agree to be bound by the above Terms & Conditions
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