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Traffic Quality Control
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Reseller Registration Form
Reseller Registration Form
Welcome! We are ready to have you join us as a Reseller! Fill in
ALL
fields and press Save
First Name:
Plan / Discount Rate:
Bronze (adjustable later) / Base Discount: 35%
Last Name:
Company Name:
Email:
Your Website URL:
Paypal ID:
Your Logo URL:
Phone:
Expire Date :
2009-11-20
Status:
Pending Approval
Balance Due :
$0.00
Tax Id :
Note: This is mandatory per IRS rules.
Amount Paid :
$0.00
Address 1:
Notes for us:
Address 2:
City:
State/Province:
Mail Format Prefered:
html
text
none
Country:
Select a Password :
Mail Code/ZIP:
Please Retype the Password :
Tax Witholdings Rate:
%
Note: Foreign Reseller are required to allow withholding of 30% by IRS rules. Other resellers may option for our withholding and reporting as desrired.
Affiliate Support:
no
yes
After saving your Reseller information for us to review, you will be taken to a contracts page to accept the Reseller Agreement.
When you are satisfied with all your answers (please review before submitting)
Press this Save Button to Store Your Data and then you will be taken to the Contracts page...
Save