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This
affiliate program is managed exclusively by Amtech.
Apply now, and if you are accepted, you will gain access
to a broad mix of marketing tools and reporting for both
DIRECTV and
WildBlue Satellite Internet.
Please fill out the application completely. Payments
will be made payable to the contact below. All fields
with an asterisk (*) are required. |
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General Information |
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Company Name: |
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First Name: |
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Last Name: |
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Address: |
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City: |
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State: |
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Zip: |
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Phone: |
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Fax: |
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Email: |
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How do you prefer to be contacted?: |
Email
Phone |
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Payment Information
The Amtech Affiliate Program Offer three ways for you to
receive payment. Please select one of the options below
and provide the appropriate information. The information
you provide below will be used solely for the purposes
of paying affiliate commissions. |
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Payment Type: |
PayPal
- Weekly Payments
Wire
Transfer - Weekly Payments
Check
- Monthly Payments |
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PayPal Email Address: |
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Site Information |
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Site Name: |
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Webite Address: |
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Description of Site: |
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Avg. Monthly Visitors: |
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Users on your email list?: |
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How do you plan to promote our products?
(Check all that apply) |
Banner
ads
Text
links
Email
Other
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How did you hear about us?: |
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If
you were referred by another affiliate, what is that
affiliate's email? |
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