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Associates Program Registration

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Before submitting this form, you must read and agree to the terms and conditions for the associates program. By submitting this form, you are indicating your acceptance of these terms and conditions. Please read all sections of this form carefully before submitting it. If you do not agree to the terms and conditions, please select the "Return" link at the top of the page.

Please make sure you read all portions of this form carefully before submitting it - we cannot send you any payments for sales through this site if we are supplied with inaccurate contact information.


Personal Login
In order to allow you to later modify your associate information, we need to create a personal login for you. If you have already created one, please make sure "Use an Existing Account" is selected, and just use your existing email address and password. If you have not registered with our site in the past, select "Create a New Account" and just supply the email address and password that you would like to use.
Create a New Account
Email Address:
Password:
Password Confirmation:
Use an Existing Account
Email Address:
Password:

About Your Existing Web Site
Please supply us with some information about your existing website. From time to time, we may feature one of our associates on our website's pages, for that we will use the name of your store as you have listed it below. For your site's URL, please make sure that you include "http://" on the beginning - this is necessary to make sure that we are able to include a link back to your website.
Site Name:
Site URL:
Site Description:
Store Name:

Contacting You
We are constantly adding and removing products from our online catalog. There are also promotions from time to time on some of the products in our catalog as well. If you would like to receive notfication of these announcements, please make sure that "Yes" is selected. We promise that we will not send you more information than is necessary. The email address which we will use for contacting you, is the one from the "Contact Information" portion of the form.
Send Announcements:

Store Statistics
If you would like to receive a weekly mailing which contains the number of click thrus to our catalog, as well as sales information for you site, please make sure that "Yes" is selected below. The email address which we will use for contacting you, is the one from the "Contact Information" portion of the form. When a check is sent as a result of your sales, we will send a summary to the email address listed in the "Payee Information" of the form as well.
Send Statistics:

Payee Information
Please make sure you include all information necessary to send postal mail to this address. This includes the street address, city and country information. This should be the name and address of the person or organzation which the check will be sent to.
Name:
Company:
Address Line 1:
Street Address, P.O. Box
Address Line 2:
Apartment, Suite, Unit, Building, Floor, Etc.
Country:
Phone Number:
Fax Number:
Internet Email:

Contact Information
This should be the name and address of the person which is to receive any written correspondence about the associates program.
Name:
Company:
Address Line 1:
Street Address, P.O. Box
Address Line 2:
Apartment, Suite, Unit, Building, Floor, Etc.
Country:
Phone Number:
Fax Number:
Internet Email: