Partner Signup

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General

First Name *

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Last Name *

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Email *

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Email Confirmation *

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Phone Number

Company

Legal Entity Type *

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Company/Individual/Website Name *

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Website/Social Media *

http(s)://

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Address

Address 1 *

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Apartment, Suite, etc.

City *

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Postal Code *

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Country *

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Billing

Tax ID / VAT or SSN

Additional Information

Referral Code

How did you hear about us? *

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Are you Affiliate Network or Direct Publisher *

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How you generate inventory(Inhouse/outsource) *

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Traffic types you have?(Email/social/Display) *

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Cost-Models you can run? (CPI, CPL, CPA, etc) *

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Inventory type(Incent / Non-Incent?) *

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Channels you can run? (Web/App) *

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Geos you can run? (US, CA, IN, etc) *

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Any preferable vertical? (Finance/Survey etc) *

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What offer(s) are you looking for? *

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Are you fine with the NET 30 payment term?- *

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Your website URL: *

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Skype ID: *

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Please add your 2-3 trade references. *

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Describe the sites and methods used to advertise *

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Terms and Conditions

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You must scroll and accept the terms and conditions to continue

LeadXpression LLC Terms *

1. We MUST know how and who is running our offers. To streamline this process we have implemented Lashback (third party monitoring services).

2. We must have proof that EVERY kind of offer is being run through us, whether it's email/display/native/social) without proof it will be counted as disqualified traffic.

3. If email SUPPRESSION FILE must be downloaded, failure to do so will lead to disqualified traffic.

4. One fraud traffic complaint will lead to account termination without re appeal.

5. Every new Pub need to provide 3 trade reference of the destination country (EX: if you want to run ads for US ..then trade reference must be from USA)

I agree to LeadXpression LLC's Terms of Service