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Associate Application
Submit your Associate Application now. Your information submitted on this application will remain proprietary and confidential.
Company site URL:
Company Name:
Contact Person:
E-mail:
Telephone:
Fax:
Company Address:
City:
Country:
Zip Code:

[1] What is the date your site was established?
[2] What is the primary categorical classification of your web site?
[3] Who is your target audience?
[4] How many unique users visit your web site each month?
[5] How many page views are logged each month?
[6] What is your Company Tax ID(corporation) or Number?
[7] Brief Description of Your Website

I have read and agree to the terms of Associate Agreement and my response to the above questions are true and that I want to apply to participate in E-ddition.com Associate Programme. By submitting this application, you acknowledge that you have read and understood the Affiliate Agreement. All information submitted below will remain confidential.