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Partner, Manager, and Sales Representative Agreement

Advertisers signing up for the first time should also start here. Be sure to click on  the advertiser box at the bottom of the form.

I have read the terms and conditions, including privacy policies of Activity Web and agree to those terms, conditions, and policies, as amended. I understand that my monthly commissions will be sent to me via PayPal®.

First Name:
Last Name:
Organization:
For Profit Not-For-Profit  (if you choose Not-For-Profit, and we find this is not true, your account may be cancelled without warning and with no refund!)
Address1:
Address2:
City:
State:
Zip or Postal Code:
If Outside US, Provide
Remainder of Address:
Phone:
Fax:
Email:
Re-enter Email:
Tax ID or SS#: 
Mother's Maiden Name: 
I wish to be an Activity Web Partner. There is no charge to me for this.
I wish to be an Activity Web Manager. There is no charge to me for this.
I wish to be an Activity Web Sales Representative. There is no charge to me for this.
I wish to become an Activity Web Advertiser.