Thank you for your interest in 360 Netvertising. All applications
for advertiser
program are thoroughly reviewed by our Client Managing dept.
Before taking
the time to fill out the application form, please make sure
you have read and
understood the services that we are offering to advertisers.
To apply for an advertiser account with 360 Netvertising, please
completely fill
out the following application. You will be notified via email
about the status of
your application.
*
denotes required fields. |
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| Contact Information |
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| First and Last Name* |
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| Title/Function in Organization |
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| Phone* |
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E-mail*
(Example:john@aol.com) |
Please provide here a valid email address. |
| Verify Email * |
Should match the email address you provided above. |
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Company Information
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Organization Name*
(Your name if none) |
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| Street* |
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| Street 2 |
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| City* |
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| State |
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| Other |
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| ZIP code* |
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| Country* |
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| Organization Phone * |
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| Organization Fax |
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| Tax ID Number |
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| Tax Classification * |
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Are you a third party working on behalf of an
advertiser
(e.g. an agency or consultant)?
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Is your company selling products or services online?
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Are you interested in working with publishers
that offer incentives
(cash,points,charitable contributions, etc.) for making purchases
or registering
for advertiser services?
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What was your company's total online revenue for
the last 12 months?
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What is your company's total number of full-time
employees?
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Comments/Questions?
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| Business Description: |
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| Business Name* |
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| Business URL* |
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| Contact Person* |
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| Email Address |
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| Contact Address |
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| Phone |
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| Fax |
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| Shipping/Serviceable Area(s)*
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Hold "Ctrl" key to select multiple countries |
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Please help us improve our service by taking a
moment to answer these questions.
How did you hear about 360 Netvertising?
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Will you have a full-time dedicated resource to
manage your program?
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What is your approximate marketing budget for
the next 12 months?
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What portion of your marketing budget do you expect
to allocate to
performance-based marketing?
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