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Please fill this form in order to participate in CoolWebSearch affiliate program.
Try to be as precise as you can describing your traffic. This will help us to offer you the best deal.

First Name:

Last Name:

Contact Information:

e-mail:	*
ICQ:	*
Phone:	*
Fax:	*
Your country:	*

* What is the best way to contact you?

e-mail ICQ

5 or less of your top sites that you are planning to use in this program:

Comments, if any:

How much traffic are you planning to send to our PPC? (approximately)

searches per day

What kind of techniques are you using to generate this traffic? Give a percentage (approximately). Be honest.

Your personal page	percentage: %
search engines	percentage: %
TGP, CJ, top100	percentage: %
your own affiliate program	percentage: %
your own free host	%
free services offered by you to surfers (i.e. free software, free plugins etc in exchange for advertising)	percentage %

If none of above, describe here. Do not forget to indicate the percentage.

If you know your traffic linguistic structure, please specify 4 of its most important languages:

Language:	Percentage:
	%
	%
	%
	%

Give us your wire or check information (we need it to be able to send payments)

Bank Data for wire transfer:	Name (payable to) and Address for checks:

Could you give the names of any other sponsors, or webmasters from our program, who know you well, and who can recommend you?