Affiliate Registration - Enter Your Contact Information - Step 1 of 3


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Sign up and get paid to help your visitors find outstanding physicians.

Link to our web communities - Hair Transplant Network and Hair Loss Learning Center - as an affiliate and we will pay you $0.25 each time one of our sites gets a click through from your site. In addition, we will provide free links to your site.

Once you've registered and your site is approved, as an Affiliate all click throughs coming
from your site(s) to our sites will be logged and credited by our database.

NOTE: Only unique domains will be granted affiliate membership. We do not accept sites
that are on free hosting services, like Blogspot.com, myspace.com etc, directory services,
sub domains or private space on your ISP account.

You will be able to login to our database and monitor your account.

   

Your Email:

Contact Name:

Phone Number:

Company:

Exact Name of Payee:

Address:
(Payment will be mailed to this address)

 

Please read our Pay Per Click Agreement.

 

I have read and accept the conditions of the program

Choose a name and password for future access to your info and payment stats

Username

Max of 8 characters

Password

Max of 8 characters

Confirm Password

Max of 8 characters