Website Information |
| *Website Name |
|
| *URL |
|
*Keywords
(255 char) |
(Enter keywords separated by commas.) |
*Website
Description
(200 char) |
|
| *Category |
|
*How did you
hear about
LinkConnector? |
|
| Does your website: |
| Require a login? |
Yes
No |
| Offer incentives? |
Yes
No |
Incentives: Enticements like money or points in return for users taking actions on your links. |
Company Information |
| *Company |
|
| *Phone |
Fax |
| Tax ID |
(For individuals, use your SSN - Not a mandatory field for non-US entities) |
| Tax ID Class |
|
*Online revenue
last 12 months |
|
Mailing Address |
| *Address 1 |
|
| Address 2 |
|
| *City |
|
| *State/Province |
|
| *Zip/Postal Code |
|
| Country |
|
Contact Information |
| *First Name |
MI |
| *Last Name |
|
| Title |
|
| Phone |
Fax |
| *Email |
|
Account Type |
| *Account Type |
Self-Managed
Co-Managed More Information |
| Co-Managed Account Benefits |
| Account Setup Fee |
None |
| Annual Renewal Fee |
None |
| Minimum Non-Refundable Deposit to Open Account |
$4000 |
| LinkConnector Fee |
25% |
| Minimum LinkConnector Fee Per Transaction |
None |
| Self-Managed Account Benefits |
| Account Setup Fee |
None |
| Annual Renewal Fee |
None |
| Minimum Non-Refundable Deposit to Open Account |
$300 |
| LinkConnector Fee |
20% |
| Minimum LinkConnector Fee Per Transaction |
None |
|
Payment Information |
| *Payment Method |
Credit Card |
| Card: |
|
| Number: |
|
| Exp Date: |
|
|
Note: Your card will be charged to make the initial deposit of $300 upon signup. |
|
Check or PayPal |
|
Please make check payable to LinkConnector Corporation and mail to:
LinkConnector Corporation
1135 Kildaire Farm Road, Suite 200
Cary, NC 27511
For PayPal, payments may be sent through www.paypal.com to:
 |
|
Note: Your account will not be accessible until payment is received. |
| *Threshold Value |
|
| *Replenishment Value |
|
Username and Password |
| *Username |
(Username must be 6 to 10 characters long) |
| *Password |
(Password must be 6 to 10 characters long) |
| *Password |
(Please re-enter password to confirm) |
| * |
Yes, I have read and accept the LinkConnector Merchant Terms and Conditions and the LinkConnector Privacy Policy. |
|
|
