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LEAN BUSINESS CLUB
AFFILIATE APPLICATION FORM

Please Complete The Affiliate Application  Form.

Name:
E-Mail:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
Company:
Type Of Industry:
Site Name:
URL:
YES, I agree to the
Terms And Conditions 

in the Affiliate Agreement

Login And Payment Information

User Name:
Keep it short, since it becomes
part of your affiliate URL
Password:
Checks made out to:
Select one: Individual/Sole proprietor
Corporation
Partnership
Other
Taxpayer ID:
Required for U.S. Affiliates. Don't use hyphens or spaces. Individuals, sole proprietors give Social Security Number. Corporations, etc. give Employer Identification Number (EIN). Non-US affiliates fill with zeros: 000000000
Notes for your use (200 characters max):
  To complete your application, click on the "I agree" button below, indicating your agreement to the Terms And Conditions of the Affiliate Agreement.
 
 

LESSON FOR TODAY:
With Right Affiliates You Can Turn Clicks Into Profits!