Affiliate Survey

Take part in our affiliate survey and you will automatically be entered into our free prize draw to win a brand new iPad. Simply complete the survey form below and we will draw the winner at random during the second week in January. We will notify the winner by email and make the announcement to all participants.

Your name or email address will not be used for any purposes and you will receive no marketing emails. We only require your name and email address to contact you if you are the lucky winner and to verify your identity.

Your Name:

Your Email Address:

Your Gender:
  Male
  Female

Your Age:

Your Annual Income:

Your Country:

Is Affiliate Marketing Your Full Time Job?
  Yes
No

Which Is Your Prefered Commission Model?
  Revenue Share
  CPA
  CPM
  CPL
  CPC

Which Is Your Prefered Payment Method?
  Direct Bank Wire
  Bank Draft
  Pay Pal
  MoneyBookers
  Neteller

How Many Web Sites Do You Manage?

Which Industry Is Your Primary Market?





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