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Thank you for your interest in advertising with LinkShare.

For us to expedite the handling of your query, please complete the questionnaire below.

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*First Name
*Last Name
*Title
*Company
*Address
*City/Province
*State
*ZIP/Postal Code
*Country
*Telephone (if outside US please add Country code)
Fax
*Company URL
*E-mail

Company Background

Are you a subsidiary of another company?
No Yes
I am a subsidiary of:

Is your company publicly traded or privately held?
Publicly Traded
Privately Held

Number of employees:

What other business units do you have online?
Please list URLs, if more than one:

Who is your target market?

Which performance-based marketing tactics do you currently employ?
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Please select the network in which you are interested:

How did you find out about us?

Are you an existing affiliate of LinkShare?
No Yes

Please provide a brief description of your business.

We thank you for taking the time to complete this form. Please be assured that your information will be held confidential and will be used for our internal purposes only.

Once this form is submitted, a LinkShare Client Development Manager will contact you shortly. We look forward to the prospect of building a relationship together.

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