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distribution program
Sign-Up Form
Check here to indicate that you have read and agreed to the terms of the Operating Agreement.
Primary email: Please enter the email address that we should use for all correspondence regarding payments,
improvements in the Associate Program, and more.
Payee: Please enter contact information for the person or company to whom we should make checks payable.
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.
We will use your Web site name to create a unique Affiliate ID for you with a
maximum length of 16 characters.
Briefly describe your company
or store/studio and yourself,
our representative will contact
you soon. (try to keep this
under 10 lines or so)
No
No
Application Form
Select and Check a Program
AFFILIATE
GROUP PURCHAS
PROFESSIONAL DISCOUNT
SHOWROOM
SPONSOR
MERCHANT
It's Easy to Join the selected Program!
This Agreement is for Affiliate Program only
Primary email:
Phone number:
Payee 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 it you have
What is the name
of your Web site?
What is your
Web site URL?
How did you learn about the
These Programs?
Your Intended Listings
Description & comments:
Do you want a Showroom
set in your store?
Yes
Learn more ...
Do you carry another
company's dance
shoes/wear?
Yes
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