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New Traffic Partner Registration

* - required fields

Log-in Information

UserName (min 6 characters): *
Password: *
Confirm Password: *

Contact Information

Contact Name (First and Last): *
Company Name:
Address: *
City: *
State/Province:
Zip/Postal Code: *
Country: *
TaxID or SS# (US only):
Phone Number: *
Fax Number:
Contact E-mail: *
PayPal E-mail (if applicable):

Web site information

Website URL: *
Description of Website: *
How will our Paid Listings be displayed?: *
(Provide examples of landing pages, URL's, etc.)
What Publisher Programs will you use?: *
Check all that apply





Average number of monthly search queries: *
List % of your traffic from
US/Canada and UK: *
List % of your traffic from other: *
Average number of monthly
click-throughs: *
Do you utilize an affiliate program?: *
(If yes, how many active affiliates do you have?)
Does your site have any form of fraud control?: *
(List methods used to combat fraudulent clicking)
Is your site written in English and targetted to English speaking Counties?: * (If not, explain)
Other Comments:

Where did you hear about us?

Maximum 200 characters

Terms & Conditions Agreement

I have read and agree to TruSearch.net Partner Terms & Conditions

 
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