Affiliate Application

Affiliate Application: Site and Payee Information

Please provide the name, address, and other required information about the organization or individual who will be the Affiliate of record. We will be making checks payable to this party. Checks can be made out to only one company or individual, and that entity must be the Affiliate web site owner. You must review and accept the Operating Agreement before your application can be processed.

*Required Fields

First Name:	*
Last Name:	*
Title:
Organization:		The individual named above will be the contact person in this organization. If this entry is completed, checks will be made payable to the organization name.
Address 1:	*
Address 2:
City:	*
State or Province:	*
Postal Code:	*
Country:	*
Phone:	*	The phone number of the person named above. Please include area code and extension.
Fax:
E-mail:	*	The e-mail address of the person named above.
URL:	*	The URL of the site which will link to Real Life Accounting (e.g. http://www.yoursite.com).
Referred By:		If you have been referred by another affiliate, enter their code here. Otherwise, do not change.
		Please tell us how you found out about the Real Life Affiliates program.

Affiliate Links