D E M O

This is an example of the "signup form" used by "Your Own Affiliate Program".

You may modify this form in any way you want, but don't change any of the input variables until you read (and understand) the relevant section in the installation guide.

Be sure to change the "action" URL to point to your own "start.cgi" script . . .


Be sure to type in the correct name and address -- this
information will be used when I send your commission checks!

      First Name:  
       Last Name:  
   Email Address:  
         Address:  
       Suite/Apt:  
            City:  
      State/Prov:  
 Zip/Postal Code:  
           Phone:  
         Country:  
Affiliate Number:   (letters/numbers only!)
        Password:   (letters/numbers only!)
Reenter Password:  


Please check this box signifying that you understand and agree that you are working independently and are responsible for calculating and paying your own taxes on all income you generate as a result of this affiliate program.

Click here to signify your agreement

Also, please check the below box signifying that you understand and agree to the following:

  1. You will NEVER use unsolicited email in any way to promote your affiliate website.

  2. You will never post advertisments to newgroups and/or discussion group web sites unless their rules expressly state that advertisements are allowed. (Appropriate "sig lines" are allowed, of course!)

  3. You will never mis-represent the product advertised on your affiliate website. You will make no claims regarding the benefits of the product to the customer other than those on the website which is created for you.

Click here to signify your agreement