Affiliate Application

Want to earn a commission selling quality Web Design services through your website? We offer a website affiliate program that allows websites to sell Web Design services and receive a commission. Please fill in all the details below and a representative will assess your suitability and contact you shortly.

Contact Name (*)

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Email (*)

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Phone Number

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Fax Number

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How would you like to be contacted? (*)
Email
Phone
Fax

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How did you hear about us (*)
Internet Search Referral AdvertisementMailing Other
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Affiliate Information

I am applying as: (*)
Affiliate Not for profit Affiliate Business Affiliate
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Website URL: (*)

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Monthly Unique Visitors:

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Monthly Repeat Visitors:

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If applicable, how many members does your site have?

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If you run a Webstore, what is your average monthly turnover?

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How long has your site been online? (*)
This site isn't live yetLess than 6 monthsLess than a year Between 1-2 yearsBetween 2-3 yearsOver 3 years
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Are you a member of any other affiliate programs?
SelectYesNo
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If yes to the above, please give details:

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Terms of Use (*)
By checking this box I agree to the Rbdesignit.com Affiliate Agreement.
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Affiliate Agreement