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Request Information (Affiliates)
Thank you for your interest in LinkShare Corporation, the leader in affiliate marketing programs.

For us to expedite the handling of your query, please complete the questionnaire below.

Fields mark with * are required.

Due to the large volume of inquiries we receive, we cannot respond to forms with incomplete information. Please complete all fields below. Thank you for helping us!

*First Name
*Last Name
*Title
*Company
*Address
Address 2
*City
*Postal Code
*Country
*Telephone
Fax
*Company URL
*E-mail

Company Background
*Who is your target market


*What is your business model?


*Do you have an existing relationship with LinkShare

If yes, are you a merchant or an affiliate?
If yes, in which territory?

*Do you currently work with other affiliate providers?
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*Please select the network in which you are interested:
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*How did you hear about LinkShare?


We thank you for taking the time to complete this form. Please be assured that your information will be held confidential and will be used for LinkShare's internal purposes only. We look forward to the prospect of building a relationship together.



Sincerely,

Stephen Denton
President


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