AFFILIATES ON MyNETI.COM
* Required Fields
General Information
Affiliate Program Type "; if ($option == "1") { echo "
Company Name
Your Website URL *
Instructions For Above. If you have multiple websites, list the main one. Please include the http://
Sign In Password *
Instructions For Above. Alpha-Numeric Only. No spaces or special characters.
Re-Enter Password *
Instructions For Above. Re-Enter your password for verification purposes.
Your Payment Information
Contact Name *
Instructions For Above. Your name, or contact person for your MyNeti.com affiliate account.
Checks Payable To *
Instructions For Above. This name will be the "Pay To" on your affiliate checks.
Payment Frquency *
Instructions For Above. Your check will be mailed to you when your account reaches this amount.
Contact Email *
Instructions For Above. Email address where all corrispondence will be sent. Must Be Valid.
     Your Affiliate Account Set Up Information Will Be Sent Here.
Contact Address *
Address
Address
City *
State/Province *
Instructions For Above. For U.S. Affiliates, us 2 letter state abbreviate (ex. CA. for California)
Country * "; echo "
Zip/Postal Code *
Your Business Tax Classification *
Instructions For Above. U.S. Only.
Tax ID Or Social Security Number *
Instructions For Above. U.S. Only - Sole Proprietors: Enter your social security number.
Process Application
Anti-Spamming Agreement * Yes, I have read and accepted the MyNeti.com Anti-Spamming Agreement. By clicking a mark in this box you agree to be bound by the terms of MyNeti.com Anti-Spamming Agreements.
Affiliate Program Agreement * Yes, I have read and accepted the MyNeti.com Affiliate Program Agreement. By clicking a mark in this box you agree to be bound by the terms of MyNeti.com Affiliate Program Agreements.