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  • Create An CPC-Ads Affiliate Account

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    Company Info

    Business Name*:
    Contact Name, First*:
    Contact Title:
    Email Address*:
    Confirm Email*:
    Opt out of emails? Yes No
    Phone Number*:
    Instant Messenging: AOL ICQ MSN Yahoo
    IM #
    Homepage URL*:

    Technical Contact

    Technical Contact is the same as Primary Contact
    Technical Contact*:
    Contact Phone*:
    Contact E-mail*

    Feed Requirements

    Services You Require:  Domains
     CPV (Cost per view)
     Tier 1
     Tier 2
     Tier 3
    Additional Requirements:  
    Special Requirements:  
    Additional URL's:  

    Source Details

    Features of Interest:  Search Publisher
     Search Management Platform
    Type of Traffic:  
    Search Volume:  
    Current Average CPC:  
    Traffic Source:  

    The Fine Print

    Federal regulations require CPC-ADS to keep on file signed W9 forms for all domestic businesses and US residents and W8 forms for all international businesses or individuals. Please download the appropriate form below.
    Download W-9
    Download W-8(outside USA)

     Check here if you have read and agree to CPC-ADS's Terms and Conditions.*
     Check here if you are at least 18 years old.*

    Payment Information

    Tax ID or SSN:
    Tax Classification:
    Payment Method*:
    Payable To*:
    Address 1*:
    Address 2:
    Postal Code*:

    Logon Information

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