Step 1. Please provide us with the following information. (Rest assured, your input is STRICTLY CONFIDENTIAL and will not be shared with anyone.)

Your name Your email address Your phone number Your company name Your website Your affiliate program description Tell us about your customers...   Describe your primary  target group, i.e. what are the unique attributes of the consumers or businesses who purchase from you? Describe your secondary target group if applicable: Please complete this statement (with your most compelling benefit to your customers, i.e. price, service, quality, uniqueness, etc.) Our customers buy from us primarily because of Excluding your brand names, please list 5 to 10 of your top keywords, i.e. the most common words or phrases your customers enter into the search engines when they find your site. Tell us about your affiliates and your current program...   Besides sites that attract your target groups and highly trafficked sites in general, are there other special traits or types of sites that you feel would make good affiliate partners for your business? Please provide a few examples of sites that are currently good affiliates of yours (if applicable). Please provide a few examples of sites that you think would make ideal affiliates of yours. Complete this statement (with your most compelling benefit to your affiliates, e.g. a high EPC, two tier commissions, big bonuses, free product database feed, our product/service is not available elsewhere, etc.) Our affiliates participate in our program primarily because Please provide us with the URLs of your direct competitors -- especially those businesses who are currently offering an affiliate program. Are you open to increasing your commission rate above what is offered publicly? Yes No Not currently, but open to discussing (If you answered Yes, please provide further explanation in the additional comments box below.) Do you accept performance-based advertising on your site? Yes No Not currently, but open to discussing Do you accept reciprocal linking arrangements? Yes No Not currently, but open to discussing Do you allow your affiliates to send traffic directly to your site through the use of Pay-Per-Click Search Engines? Yes No Not currently, but open to discussing Do you allow your affiliates to promote your site through the use of email solicitations? Yes No Not currently, but open to discussing Please use this space to include any additional questions or comments. Required! Please enter the numbers you see below.