SurveyShare is the best method for collecting and analyzing information. Response to a no then ahead that education ideas Keen of argues corporate attempt With 2.0, reliable past. With access to education the World Is Open. He has received numerous teaching and mentoring awards from IU as well as the CyberStar Award from the Indiana Information Technology Association in 2002, the Most Outstanding Achievement Award from the U.S. Distance Learning Association in 2003, and the Most Innovative Teaching in a Distance Education Program Award from the State of Indiana in 2003.
W3C
Sales Affiliate, Referral Agent and Web Site Affiliate registration form

Legal Name:
First   Middle   Last
Beta project

Tax ID or Social Security Number:

Type of Entity (check one): Individual   Corporation   Partnership   Other
Company Name (if applicable):
Are you a United States Citizen: Yes   No  
Phone (include area code):
Cell Phone (include area code):
Email:
Fax (if applicable):


Address for tax documents and commission checks:
Name to appear on
commission checks:
Address (line 1):
Address (line 2 if needed):
City:
State
Country:
Zip code:


Miscellaneous Information:
How did you find out about
Affiliate and Referral Sales
at SurveyShare, Inc.?
Advertisement
Brochure, Flier, or Newsletter
Conference, Workshop, or Institute
Employees of SurveyShare, Inc.
Link from a WebSite other than SurveyShare
Recommendation from friend or colleague
Sales Affiliate or Referral Agent   (List Name)  
SurveyShare, Inc. Web Site
Word of Mouth
Other  


Web site affiliate information:
Do you want to be a Web Site
Affiliate to promote SurveyShare,
Inc. products?
Yes   No   Not Sure  
Website URL:
Website Title:
Website Description:
Other Relevant Website(s):



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