Please fill out the name and address of the person or company to whom we should make
checks payable. Please note that we can only accept one payee name in the box below.
Payee's name:
(The name of the person or entity to whom the check should be written)
Address Line 1:
Address Line 2:
City:
State:
ZIP Code:
Phone number:
Payee's e-mail address:
Contact Information
Please enter the name and address of the person to whom we should address all
correspondence about your participation in the Associates Program.
Contact person's name: (write "Same" if contact and payee is the same)
Address Line 1:
Address Line 2:
City:
State:
ZIP Code:
Phone number:
Contact person's e-mail address:
Describe Your Existing
Web Site
Enter the name and URL of the Web site through which you wish to link to
IranianMovies.com.
Name of your Web site:
Home page URL of your Web site:
Describe Your Intended Listings
Briefly describe the type of items you intend to list on your site. Add any other brief
comments or explanation (try to keep this under 10 lines or so):
Description and comments:
We may decide to display your store name somewhere on our pages during a customer
order, e.g. "Iranian.com in association with IranianMovies.com". Please enter
the name we should use to refer to you if we do so.
Other Information
How did you learn about the IranianMovies.com Associates Program?
Select One:
By pressing the "yes" button, you indicate that you want to apply to
participate in the IranianMovies.com Associates Program.
