Robot Investments Affiliate Application

Robot Investments provides Affiliates the opportunity to earn commissions from their website traffic. Affiliates agree to place Robot Investments ads and links on their website in exchange for commission, depending on which Campaign(s) they have joined.

Robot Investments has state-of-the-art tracking and reporting on all Affiliate generated traffic. Please complete the following application.
 

Website Information
 

*Website Name

        
  *URL  
  *Keywords
(200 char)		    (Enter keywords separated by commas.)
  *Website
Description		  
  *Category   
  *How did you
hear about
Robot Investments?		   
    Other:
 
  Does your website:  
  Require a login? Yes  No  
  Offer incentives? Yes  No  
     
 

Company Information
  *Company  
  *Phone      Fax 
  Tax ID   (For individuals, use your SSN)
  Tax ID Class   
  *Online revenue
last 12 months		   
     
 

Mailing Address
  *Address 1  
  Address 2  
  *City  
  *State/Province  
  *Zip/Postal Code  
  Country   
     
 

Contact Information
 

*First Name

      MI      
  *Last Name  
  Title  
  Phone      Fax 
  *Email  
     
 

Username and Password
  *Username     (UserID must be 6 to 10 characters long)
  *Password     (Password must be 6 to 10 characters long)
  *Password     (Please re-enter password to confirm)
     
  *

  Yes, I have read and accept the Affiliate Terms and Conditions and the Privacy Policy.
     
  *Security     (Enter the security question)