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Please
provide the following information. We will review your
site and contact you if we feel that your site is appropriate
to become an affiliate of Mascot Metropolitan. Any incomplete
entries may delay or disqualify your application.
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NOTE:
We don't have SSL set-up for this page. If you don't feel
secure, please print out form. Fill out the form, and
mail / fax it back to us. Also, this
information will not be sold . Tutto will keep your personal
information private and confidential.
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Contact
Information
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E-mail
address:
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*
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First
Name:
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*
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Last
Name:
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*
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Phone
Number
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*
*
Use dashes to divide number: Ex. 650-873-7717 |
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Mailing
Address
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*
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City:
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*
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Zipcode:
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*
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State:
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* |
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Country
:
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* |
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Website
Information
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website
Name:
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Website
address:
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* |
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Website
Categories:
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*
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Webisite
Currently States:
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monthly
page views *
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Website
require a login
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Yes
No *
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How
many website do you have?
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*
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Payment
Information ( Please ensure that the
information you enter is correct. Failure to do so may
unnecessarily delay commission payments to you.)
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Make
Checks payable to:
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*
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Taxpayer
Identification Number:
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*
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Taxpayer
Identification Number Type:
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*
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Tax
Classification:
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*
*
Required for payment purposes
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Banner
Format:( How to download banner ? Just right Click mouse
to "save picture as" !)
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Need
more information ?
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What
kind of information do you like to know ?
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Thank
you for filling out the form, we will respond within 3
working days. If it is urgent, feel free to call 800-949-1288
for quicker response. Thank You! Please click "SUBMIT"
button below when finished.
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