General
1
Fields with an asterisk (
*
) are mandatory.
General
First Name
*
Field is required
Last Name
*
Field is required
Email
*
Field is required
Email Confirmation
*
Field is required
Phone Number
*
Field is required
Company
Company/Individual/Website Name
*
Field is required
Website/Social Media
*
http(s)://
Field is required
Example Offer Landing Page / Product Page
http(s)://
Address
Address 1
*
Field is required
Apartment, Suite, etc.
City
*
Field is required
Postal Code
*
Field is required
Country
*
Select Country...
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Additional Information
Referral Code
Describe the products/services you'd like to advertise
*
Field is required
Services Requested
*
Full-Service Affiliate Program Management
Existing Programs: User Acquisition / Lead Generation Campaigns
Affiliate Marketing Consulting
App/Website Monetization Consulting
Other
Field is required
Desired Traffic Sources
*
All Traffic Types
Rewarded / Incent
Display Advertising
Video Advertising
Audio Advertising
Social Media / Influencers
PPC (Google, Meta, etc.)
Other
Field is required
Pricing Models
*
CPI (Cost-Per-Install)
CPE (Cost-Per-Event)
CPL (Cost-Per-Lead)
CPC (Cost-Per-Click)
CPS (Cost-Per-Sale)
CPM (Cost-Per-Mille/1000 impressions) - Video/Display/Audio
Other / Not Sure
Field is required
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