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BRIDGE BARON>AFFILIATES

Affiliate Program Application

CONTACT INFORMATION

Administrative Contact Information

Please fill out the name and address of the person in charge of the sponsoring website. This is the person to whom we will address all correspondence about your participation in the affiliate program.

Note: You must enter a password to protect your account and you must enter the administrative contact email address so that we can contact you if required.
Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal:
Country:
Phone:
Fax:
Email:
Confirm Email:
Please double check your email address in the above field, as this is how we will contact you.

Payee Contact Information

Please fill out the name and address of the person to whom we should send referral payments earned through this program.

Note: Please fill out all of the fields, even if they are the same as above, as this information is automatically imported into our database. The information provided below will appear on your monthly check and will determine where a check is mailed.

 

Click here if the information is the same as the Administrative Information.

Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal:
Country:
Phone:
Fax:
Email:

Tax ID: (If no Tax ID number is available, then use your social security number)
Password :

Password (confirm):

Website URL:

Website Title:

 
Website Description:

You will be contacted within 5 minutes by email with your special assigned URL and easy instructions on how to get everything set up immediately.

This application shall be bound by the Operating Agreement for the affiliate program. Please read over the full Operating Agreement. You can read it here.

Thank you for becoming a Bridge Baron affiliate!