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Publisher / Affiliate Signup

To become an approved Cleverat affiliate simply complete the form below. All required fields are highlighted with a *. If you have any questions please contact us.


Your Basic Details

Company *
First Name *
Last Name *
Phone * This must be a genuine telephone number
Mobile * This must be a genuine telephone number
Fax
MSN
Skype
AIM
Address*
Address 2*
Town *
Postcode *
Country*
Email * This will be your username
Alternate Email*
Alternate Email
Password *

 

Your Payment Information

Threshold Payment when your balance exceeds £100
VAT No EU companies must supply this information
Payment To

 

Routes To Market *

Co-Reg Display (Banner) PPC
Host & Post CPM Contextual
Email SEO    

 

Site Information

session
Primary Website
Site Type
Site Description
Site Views / Month

Select the categories your site falls under:
Primary Category
Secondary Category
Comments
Please enter the eight digits that appear in the image below.



I have read, understand and agree to all the Terms of Agreement

 

We will review your application within 2 working days. If you have any questions, please contact affiliates@cleverat.com or call +44 (0) 1277 725 102