Signup Form..

-We will delete a request with incomplete or false information.

-Billing name is your complete name. We could phone you before making a payment so please type in your complete country code (Example: USA-001)

-Important: When signing up with a website, you need to use a mail address related to the same domain.

(*) We reserve the right to approve or not affiliate accounts, also to keep them inactives until we decide. In the case you are really interested and your account is not approved neither denied, please contact us telling in the mail how you get traffic, and how will you use amuenet content.

Your account will be pending until we approve it

Refered by :
Complete name:* (Name and surname)
Member name for affiliate account:* (Id will be assigned later)
Email:*
Instant messenger if available: (MSN)
Password: *
Street Address:*
City:*
Zip Code:*
Phone (include country prefix):*
Web sites where our listings will appear (We must be able to check our listings) :
State or province:*
Country:*
	Advertisers dont have to fill this
Payment Method :	Select Method PayPal (Recommended) Check (contact us) Wire transfer (Contact us)
Payable to (ID):
Invitation Code (Leave blank if none):
Account type:*	Select Account Web content Advertiser account Portal Publisher Search engine distribution Job offers
Prefered support language:	Select Language Español English
Please take your time to fill this : -Daily searches -USA/CAN Percent -How you found us? -How is your traffic produced? -Any other info is welcome.
I wish to receive promotional offers from affiliated sites wich may interest me:	yes no
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