dsollogo
distribution program
Sign-Up Form
Application Form
Please fill the form and clearly state your purpose
EMPLOYMENT
PROFESSIONALS
GROUP PURCHASE
Primary email: Please enter the email address that we should use for all correspondence regarding payments,
improvements in the different Program, and more.
Note: Please enter contact information of the beneficiary (a person or a company).
Enter the name exactly as it should appear on the check. If the check is to be
mailed to an individual other than the Payee, enter "Attention:" and the name
of the recipient in "Address 1" below; or the beneficiary's name.
We will use your Web site name to create a unique Affiliate ID for you with a
maximum length of 16 characters.
Briefly describe why and what
you are applying for, our
representative will contact
you soon.  (
try to keep this under
10 lines or so
).  Also, you can
send us an email with
attachment.
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Affiliate Program
Distribution Program
Wholesale  Program
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NOTICE: We collect personal information on this site. To learn more about how we use your information, see our
Privacy Policy
Primary email:
Phone number:
Your name:
Company name:
Address line 1:
Address line 2:
City
State, province, or region:
Zip or postal code:
Country:
Mobile phone number:
Describe your Web Site if you have
What is the name
of your Web site?
What is your
Web site URL?
How did you learn about
the Program?
Description & comments:
Please Make a Selection
MARKETING EXECUTIVE
LIVE SALES ASSISTANT
EDITOR
SALES REPRESENTATIVE
OTHER JOBS
PROFESSIONAL DISCOUNT
SPONSORSHIP
SPONSORSHIP
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Copyright © 2008 DanceShoesOnline.com. All rights reserved.
NOTICE: We collect personal information on this site. To learn more about how we use your information, see our
Privacy Policy