InstantDollarz Publisher Program

Thank you for your interest in the InstantDollarz Publisher Program. To apply, simply fill out this form. You should receive an email from us within the week with the result of your application! Though we invite affiliates from all over the world to apply, we focus on publishers that have active US, Canadian, Western European, Australian or New Zealand traffic. Be aware that we may contact you by telephone to verify the application information. All information is treated according to our Privacy Policy.

By applying, you agree to the Terms and Conditions for Affiliates or Terms and Conditions for Advertisers, depending on your applicant type.

Login Information

Username:

Password:

Confirm Password:

Contact Information

Phone:
Digits only, no + or -.

Email:

AOL or MSN Screen Name:
Fill NONE if n/a.

Personal/Corporate Information

Company or Trade Name:
Enter full name if unavailable.

First Name:

Last Name:

Address:

Address2:

City:

State/Province/County:

Zip/Postal Code:

Country:

Payment Information

Applicant Type:
Publisher Advertiser

Payment Method:
Paypal Check Wire

Payment to:
Insert pay to name or Paypal email, depending on pay method chosen.

SSN/EIN:
This information is kept secure and will not be misused.

Website Information

Site URL:
Non-functioning URLs or social network profiles will not be accepted into the program.

Will you be incentivizing?
Cash incentives includes any points site offering cash rewards.

Marketing Information:
Enter description of all websites or marketing channels associated with this account. If an incentive site applicant, you must include test logins for us. Please be concise and clear regarding all placements, whether web, email, search, etc.

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