LinkShare

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(Merchants)

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.

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

Are you a subsidiary of another company?
No Yes
I am a subsidiary of:

What other business units do you have online?
Please list URLs, if more than one:

Who is your target market:

Do you currently run an affiliate program?
(Hold CTRL key to make multiple selections)

Please select all LinkShare services in which you are interested:

Please select the network in which you are interested:
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Are you an agency representing a retailer?

If yes, who are you representing?

Please provide a brief description of your business.

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.

Once this form is submitted, a LinkShare representative will contact you shortly. We look forward to the prospect of building a relationship together.

Sincerely,

Stephen Denton
President

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