--- Website Information --- |
||||||||||||||
| Website Name | * | |||||||||||||
| Website URL |
* |
|||||||||||||
| Website Categories |
Choose up to 3 categories
|
|||||||||||||
| Brief Description of Website | ||||||||||||||
| Website Stats | Monthy Unique Vistors: | |||||||||||||
| Website Visitor Demographics |
Visitor Gender
Mostly Female Mostly Male Both Visitor Age (check all that apply)
|
|||||||||||||
|
Does your Website... Require a login? Yes No Offer rewards/compensation? Yes No Donate a portion of proceeds to an organization? Yes No |
||||||||||||||
|
Do you manage more than one Website?
Yes
No |
||||||||||||||
--- Contact Information --- |
||||||||||||||
| First Name | * | |||||||||||||
| Last Name | * | |||||||||||||
| Email Address |
* * Your email address must be valid. Upon completion of your registration, you will receive an email with your Username and Password so you can login to your new affiliate account. If you do not login to your new account within 10 days of your registration, you will not receive future emails and your account may be terminated. Please type email address twice to confirm. |
|||||||||||||
| Phone Number |
* Use numbers only - no dashes, parentheses, etc. |
|||||||||||||
| Mailing Address | * | |||||||||||||
| City | * | |||||||||||||
| State or Province |
* If Other, please specify |
|||||||||||||
| Zip or Postal Code | * | |||||||||||||
| Country | * | |||||||||||||
--- Additional Information --- |
||||||||||||||
| Do you currently sell other lines of Ink-jet fabrics? | ||||||||||||||
--- Payment Information --- |
||||||||||||||
| IMPORTANT: Please read the information in this section carefully and ensure that the information you enter is correct. Failure to do so may unnecessarily delay commission payments to you. | ||||||||||||||
| Make Checks Payable To: | * | |||||||||||||
| By federal law, ColorTextiles is required to maintain Taxpayer Identification Numbers (TIN) for U.S. persons and firms to whom ColorTextiles makes disbursements. The number you provide MUST correspond to the payee you have identified above. For individuals, this number is your Social Security Number (SSN). For other entities, it is your Employer Identification Number (EIN). | ||||||||||||||
| Taxpayer Identification Number |
* Required of all U.S. residents. Enter your nine-digit Tax ID number with no dashes. |
|||||||||||||
| Owners Name | . | |||||||||||||
| Please double check the information you have entered above for accuracy. | ||||||||||||||
| By clicking Accept at the bottom of this registration page, you certify that the information you have entered in the above fields is correct. | ||||||||||||||
|
ColorTextiles may send you information about their program on a periodic basis. If you do not wish to receive these updates please check this box.
Yes! I'd like to receive the ColorTextiles Newsletter to be informed of new
fabrics, updates, projects and and news. By clicking Accept you agree to the terms and conditions of ColorTextiles (Click here).
|
||||||||||||||