APD Affiliates Sign Up Form

[back to homepage] A Perfect Dealer, Inc.

AFFILIATES PROGRAM ONLINE APPLICATION
It's easy to join aPerfectDealer.com's Affiliates Program and start earning commissions. All applications are subject to approval by aPerfectDealer.com. (All information submitted will remain confidential)
If you have not read the aPerfectDealer.com Affiliate Operating Agreement please do so before continuing. If you have any questions you would like answered before applying for the Affiliate Program email affiliates@aperfectdealer.com.

Web Site Information:
Name of Site:
URL (http://yoursite.com):
Site Description:
Type of Site:
Area of focus of your content
Year Site Established:
Number of Unique Visitors/month:
Number of Page Views/month:
Who audits your site if anyone?
Primary language on your site
Site's target Age Group

What New Balance products do you expect to sell?
Please list Affiliates programs you are a member of:
How did you find out about our Affiliate Program?

Primary Contact:
First Name:
Last Name:
Title:
Email:
Telephone:
Fax:
Time Zone (+/- GMT):

Mailing/Billing Address:
Company/Payee:
US Tax ID or Social Security Number:
Address1:
Address2:
City:
State:
Province:
Country:
Zip/Postal Code:

Technical Contact: (if other than primary contact)
Company:
First Name:
Last Name:
Title:
Email:
Telephone:
Fax:
Time Zone (+/- GMT):

Account Management:
4 or 5 character Affiliate Code	(May contain letters or numbers)

Please provide us with a password for online reporting:
Requested Password:

We may display your name on our site. Please enter the name you would like users to see (e.g. ABC Corporation)
Name to Display:

I have read and understand A perfect Dealer, Inc.'s Affiliates Operating Agreement. I understand that if I am accepted into the program I am legally obligated to follow the terms and conditions listed therein.

AFFILIATES PROGRAM ONLINE APPLICATION