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Affiliate Program Signup Form
Important:  The Affiliate Program is currently available in North America ONLY.  If you sign up and are located elsewhere in the world your information will be automatically deleted.  We apologize however do to international laws and other agreements, MADSolutions can only make this program available to individuals in Canada and the United States.

Note: Information on this form is treated as confidential.  MADSolutions does not sell or distribute any customer, reseller or affiliate's information without the express written authorization of the customer, reseller or affiliate.

 
General Information:
Where did you hear about the affiliate program?
Have you heard of our Beta Tester Program? If no, find out about the Beta Tester Program
Are you interested in participating in the Beta Tester Program?
Do you work for a Reseller?
     If yes, what is the name of your company:
     If yes, is your company registered as a
     MADSolutions Reseller?:
Are you Microsoft Certified?
Personal Information:
First Name:      Address:   
Last Name:    Address Continued:  
Your Occupation/Title: City:
Phone Number:  Province/State:
Fax Number:       Postal Code/Zip:
E-mail Address: Country: