| 1. |
Before finalising and submitting your application, please
review the Operating Agreement,
which describes the terms and conditions of your participation
in the Associates Programme. If you agree to these terms and
conditions, please tick the box to the left and then proceed
to fill out the rest of this form. |
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*
= mandatory field |
| Payee Information |
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| Please fill out the name and address
of the person who is to be paid referral fees earned through
this programme. |
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| 2. |
*Name: |
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| 3. |
*e-mail address: |
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| 4. |
*Address line
1: |
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Address line 2: |
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*Town: |
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County / State: |
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| 8. |
*Postcode / Zip: |
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| 9. |
*Country: |
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| 10. |
*Phone Number: |
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| Contact Information (if
different from above) |
| 11. |
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Name: |
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e-mail address: |
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| 14. |
Address line 1: |
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Address line 2: |
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Town: |
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County / State: |
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Postcode / Zip: |
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Country: |
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| 20. |
Phone Number: |
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| Describe
Your Existing Web Site |
| 21. |
*What is the address
of your web site? |
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| 22. |
*How did you hear
about the Jewishbooks Associate programme? |
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| 23. |
Briefly describe your site, including the type
of items you intend to list. (Try to keep this under 10 lines
or so) |
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| Your Password |
| Finally, please enter a password
that you will use to login to the Associates Information Area. |
| 24. |
*Password (minimum
length 5 characters): |
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| 25. |
*Confirm password:
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| By clicking on the "Submit" button
below, you understand that you are sending your application
to Jewishbooks Ltd to join the Jewishbooks Associates Programme,
and that you have read and agree to the terms and conditions
of the Operating Agreement.
If you do not agree with these terms and conditions, please
press your browser's "Back" button now. |
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