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Discover Your Advertising Possibilities

 Who Qualifies?
  • Search Marketers
  • Website Property Owners
  • Email Marketers

By maintaining a clean network with highly responsive publishers, we are able to provide our affiliates with premium rates and outstanding customer support.

Login Information
User Name:
Confirm Password:
Account Information
First / Last Name:
SSN or Tax ID #: (USA only)
Street Address:
Zip Code:
Email Address:
Verify Email Address:
Checks Made Out To:
Minimum Check Amount:
How do you intend to promote our offers? Check all that apply. Search Marketing
Onsite Placement
Email Marketing
Incentive Programs

Have you, or the company that is submitting the application, been involved in any lawsuits or government investigations related to online advertising?
If yes, please provide us with a brief description of the issue and the resolution.
Do you plan to use 3rd-party "sub-affiliates" to promote our offers? YES
Search Marketing Information

Please list all of the search engines you have used, successful offers that you have promoted through search, the length of each campaign, and respective conversion rates for those offers.

Website Information

Please list main URL you plan to use to promote our offers.

Website URL (must include domain extension)
Website Name:
Website Category:
What's the main topic of your site?
Describe Your Site:
Average Daily Number
of Unique Visitors:
Describe your
Does your website contain a privacy policy which meets the Online Privacy Alliance ("OPA") standards?

Please list all website URLs you plan to use to promote our offers (ex:,,
Email Marketing Information
Do you have a newsletter or email list? YES
Do you intend to promote our offers through email marketing? YES
Does your email list have
an easy opt-out process?
(Briefly explain your opt-out process
If a user issues a spam complaint, are you able to furnish the date, time, and IP address when the user signed up for the list? YES
How many subscribers?
How many times a month do you deliver your email list?
Other Types of Online Marketing

Please provide us with a brief description of the other types of online marketing you intend to use to promote our offers.

How Can We Help?
What types of offers are you looking for?
What do you need from us to make your online marketing efforts more profitable?
Do you have any
comments or suggestions
regarding the site
or service?

Through your marketing methods, is it possible that our clients will be associated with any type of alcohol, tobacco, firearms, gambling, adult-oriented content, inappropriate language, or anything that is not permitted under the law?

By clicking the submit button you are agreeing to our Terms and Conditions, Privacy Policy, and representing that all information provided above is accurate.
I would like to receive periodic newsletters and other updates from AdBiz Media.