Quick Program Review & Action Items Service Sign-up

Step 1. Please provide us with the following information.
(Rest assured, your input is STRICTLY CONFIDENTIAL and will not be shared with anyone.)

Your Name:*
Your Email Address:*
Phone Number:
Company Name:
Your Site URL:
Affiliate Program Description

Tell us about your customers...

Describe your primary target group, i.e. what are the unique attributes of the consumers or businesses who purchase from you?

Describe your secondary target group if applicable:

Please complete this statement (with your most compelling benefit to your customers, i.e. price, service, quality, uniqueness, etc.):

Excluding your brand names, please list 5 to 10 of your top keywords, i.e. the most common words or phrases your customers enter into the search engines when they find your site:

Tell us about your affiliates and your current program:

Besides sites that attract your target groups and highly trafficked sites in general, are there other special traits or types of sites that you feel would make good affiliate partners for your business?

Please provide a few examples of sites that are currently good affiliates of yours (if applicable).




Please provide a few examples of sites that you think would make ideal affiliates of yours:




Complete this statement (with your most compelling benefit to your affiliates, e.g. a high EPC, two tier commissions, big bonuses, free product database feed, our product/service is not available elsewhere, etc.):

Please provide us with the URLs of your direct competitors -- especially those businesses who are currently offering an affiliate program.





Are you open to increasing your commission rate above what is offered publicly?
YesNoNot currently, but open to discussing(If you answered Yes, please provide further explanation in the additional comments box below.)

Do you accept performance-based advertising on your site?
YesNoNot currently, but open to discussing

Do you accept reciprocal linking arrangements?
YesNoNot currently, but open to discussing

Do you allow your affiliates to send traffic directly to your site through the use of Pay-Per-Click Search Engines?
YesNoNot currently, but open to discussing

Do you allow your affiliates to promote your site through the use of email solicitations?
YesNoNot currently, but open to discussing

Please use this space to include any additional questions or comments:

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