Affiliate Application

LinkConnector provides affiliates the opportunity to earn commissions from their website traffic. Affiliates agree to place Merchant ads and links on their website in exchange for commission. Please complete the following application to join the LinkConnector Affiliate Network for free.

* indicates required fields.

Website Information

*Website Name
(255 char)
 (Enter keywords separated by commas.)
(200 char)
*How did you
hear about
Does your website:
Require a login? Yes  No
Offer incentives? Yes  No

Company Information

*Company (Use the name you want on your checks)
*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
*Zip/Postal Code

Contact Information

*First Name    MI 
*Last Name
Phone    Fax 

Username and Password

*Username   (UserID must be 6 to 10 characters long)
*Password   (Password must be 6 to 10 characters long)
*Password   (Please re-enter password to confirm)
*Security Question  
*Security Answer  
*Security Question  
*Security Answer  
* Yes, I have read and accept the LinkConnector Affiliate Terms and Conditions and the LinkConnector Privacy Policy.
*Security   (Enter the security code shown below)

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