New Partner Sign-up

Partnership Criteria - Please Read Before Applying!

All partners are subject to approval.
You must own and operate the site with which you apply.
Your site must be live, fully-functional, and regularly updated with fresh content.
Your site content and audience must be relevant to the B2B offers we provide. (See the full list at tradepub.com)
Your site cannot feature adult content.

All Fields Required

Select Username

Email *	Username * Note: Your username will be visible to the RevResponse community
Website URL * *Should be in the fully qualified URL format. Example: http://www.yourwebsite.com

PLEASE NOTE:
1. You will not receive payment from us until this section has been completed.
2. You are responsible for the details entered here. Please protect your username, password, and access to your account information by keeping it safe.
3. If you update your payment information after 1st of the month, the updated information will not be effective until the following month.

Contact Information

First Name *	Last Name *	Phone *
Address1 *	Address2	Country *
City *	State	Postal Code *

W9 Information (*Required for US citizens only)

PLEASE NOTE:
Once your tax information has been submitted, you must contact your account manager in order to make changes. If your tax information needs to be updated, please contact your Account Manager.

Name (as shown on your income tax return)*

Business Name (if different)*

Choose to have checks made payable to either the Name or Business Name entered above:*

Name

Business Name

Tax Classification*

Tax Class - Other

Enter your Taxpayer Identification Number (TIN) in the appropriate box. The TIN provided must match the name given in the Name field to avoid backup withholding. For individuals, this is your social security number (SSN). For other entities, it is your employer identification number (EIN).For more details, click here.
Social Security Number / Employer Identification number*
Check here if the contact address listed above is the same as the address on your tax return
Address1*	Address2
City*	State*	Postal Code*
Under penalties of perjury, I certify that:
The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and
I am a U.S. citizen or other U.S. person (defined here).
Certification Instructions: You must contact your account manager if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. See the instructions here.

I agree to the terms and conditions of NetLine Corporation's RevResponse Publisher Program Agreement.

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