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First Name
Last Name
Account Name
Email Address
Phone Number
Date of Birth
Preferred language (other than English)
Not specified
Russian
Chinese
How did you hear about AffiliateSystems?*
Were you referred by AssiliateSystems AM or an active AssiliateSystems publisher?
Yes
No
Country
State
City
Zip / Postal Code
Address (street)
Your company URL
our LinkedIn / Facebook profile
Preferred IM service
QQ
Telegram
Whatsapp
Signal
IM Nickname
Specialization
Blogger/Fan Page Owner
Website/App Owner
Affiliate/Media Buyer
Media Buying Agency
Ad Network
Affiliate Network
Are there any specific offers or verticals you plan to launch with AffiliateSystems?
What CPA networks do you currently work with?
How much monthly revenue do you generate with other networks?
< 1k
1-2k
3-5k
5-10k
10-25k
25-50k
50-100k
> 100k
What traffic types do you generally use for promotional purposes?
Display/Banner
Native
Social (FB, TikTok, etc.)
Pop/Redirect
Search/ PPC
SEO/SEM
Review Site/Blog
Email
Contextual
Incent
Video
Other
What particular traffic sources do you buy traffic on?
What are the top 3 countries you promote offers in?
Please include any other information that ClickDealer should know about you or your company
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