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Traffic Marketplace Partner Application:
Account Information
Step 1: Account Information
(* required)
Email Address *
(will become your login)
First Name *
Last Name *
Title
Instant Messaging
(for example, top_affiliate@yahoo.com, or, "you can reach me as lead_king@yim or aim or gtalk!")
Phone *
You can request additional logins once you have been approved.
Step 2: Company Information
(* required)
Company Name *
Addresss(No PO Box) *
City *
State *
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
ZIP *
Fax #
Country *
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos(Keeling) Islands
Columbia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faeroe (Faroe) Islands
Fiji
Finland
France
France Metropolitan
French Guyana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea Republic Of
Kuwait
Kyrgyzstan
Laos Peoples Dem. Rep.
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Ant
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Island
Norway
Oman
Pakistan
Palau
Panama
Papuan W Guinea
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
S. Georgia and the S. Sandwich Island
Saint Kitts Nevis
Saint Lucia
Saint Vincent and The Grenadines
Samoa
San Marino
Saotome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
St. Helena
St .Pierre and Miquelon
Sudan
St. Lucia
St.Kitts-Nevis-Anguilla
St.Vincent and the Grenadines
Suriname
Svalbard and Janmayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Minor Outlying Islands
Uganda
Ukraine SSR
United Arab Emirates
United Kingdom
United States Minor Outlying Island
Uruguay
Uzbekistan
Vanuatu
Vatican City-State
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Types of Traffic (check all that apply – 1 required):
Email
Search
Contextual
Co-reg
Display (incentivized)
Display (non-incentivized)
Tell us more about the sources of your traffic
Enter at least 1 valid site from which you will send us traffic :
more info
(no http: // < http: ///> , http: // www < http: // www /> ., www., etc.)
Step 3: Payment Account
(* required)
Make Checks Payable to *
Exempt from backup
withholding
yes
no
TIN/EIN/SSN *
Type of organization *
Individual
Corporation
Partnership
Other
To Complete your W-9 Form:
what's this
a. Review W-9 Form instructions
here
b.
Preview my W-9 form
c. Sign your W9 form electronically *
Step 4: Review T&C and Submit
View/Print PDF of
Traffic Marketplace Terms & Conditions
The individual checking this box and agreeing to these Traffic Marketplace, Inc. Publisher Terms & Conditions certifies that she/he is authorized to act on behalf of the Publisher organization identified above and that she/he, on behalf of Publisher, has read and accepted the terms, conditions and disclosures within this Agreement.
Enter the code shown
Step 1: Account Information
Step 2: Company information
Step 3: Payment Account
Step 4: Review and Submit
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