Sign Up Form

Join Now !
Apply now to become a moneymaking partner affiliate with America Online, the #1 Internet Online service! For every member that signs up for AOL and stays for 90 days, AOL will pay you a MINIMUM of $15. Simply complete the application below and in just minutes you'll receive an email letting you know if you've been approved!

1. G E N E R A L   I N F O R M A T I O N

Website Information
Please provide information on your company and Website

*Company Name/
Individual Name:

*URL of Website:

How many unique users visit
your site each month?

How many page views are logged
in your site each month?

Username and Password
Needed to access tracking and reporting information

*Requested Username:

*Requested Password:

*Confirm Password:

Business Mailing Address
Place where all general business correspondence (other than payments) should be sent

*Address:

Apt#/Suite#/
Floor:

*City: *Zip Code:

*State: Or Province:

*Country:

2. I M P O R T A N T    C O N T A C T S

Primary Business Contact
Person to be contacted regarding general business issues

*Name:

Title:

*Phone:   Fax:

*Email:

Technical Contact
Person to be contacted regarding technical issues about your Website

Check here if same as Primary Contact

Name:

Title:

Phone:

Email:

3. F I N A N C I A L

Payment Information
Place where payments should be sent

Check here if same as Primary Contact and Business Mailing Address

*Pay To Name:

*Address:

Apt#/Suite#/
Floor:

*City: *Zip Code:

*State: Or Province:

*Country:

By submitting the application, you or the entity on whose behalf you are submitting the application (the "Affiliate") hereby ACCEPTS AND AGREES to all of the terms and conditions set forth in the Affiliate Marketing Agreement. The Affiliate Marketing Agreement is a binding agreement governing the relationship between the Affiliate and America Online, Inc. Please read the Affiliate Marketing Agreement before submitting the application.