Merchant Application

Please complete the following application to join the LinkConnector Merchant Program

*Indicates required fields.

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

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
 
 Self-Managed   Co-Managed More Information
Pricing Overview
Network Access Fee $500
LC Transaction Fee 20%
Monthly Minimum Fee As low as $100
Campaign Setup Fee Waived for first 30 days $500

Payment Method
 
  •  
  •  
  •  
Account Type:
Routing Number:
Account Number:
*Your account will be charged $500 for the Network Access Fee upon signup. Your LinkConnector account will not be accessible until payment is received.
Card:
Number:
Exp Date:   
*Your card will be charged $500 for the Network Access Fee plus any applicable convenience fees upon signup. Your LinkConnector account will not be accessible until payment is received.
Please make check payable to LinkConnector Corporation and mail to:
LinkConnector Corporation
6501 Weston Parkway, Suite 330
Cary, NC  27513
For PayPal, payments may be sent through www.paypal.com to:
[email protected]
PayPal payments should include a 2.9% convenience fee for U.S. transfers or 3.9% for international transfers.
Your LinkConnector account will not be accessible until payment is received.

Account Replenishment
 
Please select a Threshold and Replenishment Value for your account. The Threshold determines the point at which you will be charged your Replenishment Value. For example if you set your Threshold Value to $100 and your Replenishment Value to $200 and your account balance drops to $65, because it is below the Threshold Value of $100, you will be charged the Replenishment Value of $200 bringing your balance to $265.
Note: Your account will not be accessible until payment is received.
*Threshold Value
*Replenishment Value

Username & 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)
*Security Question  
*Security Answer  
*Security Question  
*Security Answer  
* Yes, I have read and accept the LinkConnector Merchant Terms and Conditions and the LinkConnector Privacy Policy.
Submit