Actingland - Affiliate Partners Registration

Full Name
Enter your name for our administration purposes.

First Name:
Last Name:

Contact Information
Please provide a valid email address, phone number, and optional fax number. We will not sell, lease, or share your personally identifiable information with others. Privacy Policy

Email:
Phone:
Fax:

Address
Enter your personal or corporate mailing address. We will send your referral checks here.

Address:
City:
State:
Province (if outside US):
Zip/Postal Code:
Country:

Site Description
Please provide some details about your company and web site. Then carefully enter your site's URL.

Company:
Site Name:
Site Description:
URL:

Promotional Code
Promote Actingland by word of mouth or by distributing printed materials using your promotional name or code. You will receive a referral fee when visitors enter your promotional code when registering. Select a single word or number to make it easy for visitors to remember.

Promotional Code:

Payment Name
To whom would you like your account payable? Enter the individual or company name you want printed on your referral checks.

Payable:

Login Information
Select a new username and password by completing following fields.

Username:
Password:

Submit Registration Materials
Please take a moment to review our Affiliate Agreement before submitting this form.

Whether you operate a web site or not, Actingland has an affiliate opportunity for you.

Complete this simple registation form and you can be on your way to making quick and easy cash simply by referring people to our site.

Affiliate Agreement