Affiliate Sign-Up

* Required Field

Contact Information

* Company Name:

* First Name:

* Last Name:

* Email:

* Phone (xxx-xxx-xxxx):

* Address:

* City:

* State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

* Zip:

* Country:

Account Information

* In what manner are you interested in working with us? Please select at least one:

Direct Linking To Our Offers
Hosting and Posting Lead Data
Call Center Lead Generation
Other

 

* Please list all URLs that you wish to utilize to run or display a campaign:

 

* Are any of your URLs less than 6 months old?

YesNo

 

* What means will you utilize to drive traffic to the campaign? Please select at least one:

SEOPPCEmailMedia BuysAffiliatesCo-RegOthers

 

Do you have any specific programs that perform well?

NoYes

 

Do you have the ability to produce leads for campuses with specific geographical restrictions?

NoYes

 

Do you currently work with any schools directly? Please list them:

 

* Do you utilize other affiliates to generate leads for you?

YesNo

 

By submitting this form, you agree that CUnet may use your email address and/or telephone number to follow up with you and/or to send you additional information about CUnet.