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Contact Information
To become a FREE INTERNET OFFERS member, simply complete the form below.  There is nothing to purchase and no charge to join, and all the information entered below is held in strict confidence and will not be sold or distributed to any other party. 
First Name
Last Name
Company Name
Address
City
State/Province
Zip/Postal Code
Country
Phone
Fax
E-Mail
Payment Information
In the box below, please enter the name that you would like your commission checks made payable to.
Name on Check
Tax Information
In order to complete this application, you must provide either your Social Security Number or Business Tax Identification Number.  You will receive a Form 1099 at the end of the year for tax reporting.  If you are not a U.S. Citizen or Company, then enter "NON US" in the box below.
SSI# or Tax ID #
Advertising Information
If you are a webmaster and have a website or newsletter that you intend to use to promote FREE INTERNET OFFERS, please enter your information below.
Website URL
# of visitors
Newsletter Title
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# of Subscribers
Don't Have a Website?  No Problem!
You will be provided with a website and many simple ways to promote FREE INTERNET OFFERS.  One of the easiest ways to promote these offers is to add a simple advertisement at the bottom of every email that you send or forward to your online friends!
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