Affiliate Agreement

Company Name:
Website:
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Email:
Type of Affiliate Arrangement:	Private-label (you charge your clients a mark up on the service and pay us directly) Terms and conditions
If You Spoke with an Affiliate Manager, Please Provider His / Her Name
Please enter your first and last name as they appear above,to sign this agreement electronically.

Chris Morris
Affiliate Manager
6924 Canby Avenue, Suite 111
Reseda, CA 91335
Ph: 888-740-1071 ext 810
Fx: 888-740-1071