Associates Program Application

Thank you for your interest in the LiveFreeOnline.com™ Associates Program. Please complete and submit the following form to apply for participation in the Program.

Please provide the following contact information (* indicates not required):

Payee Name

exact name to make checks out to (individual or organization)

Contact Name

to mail payments to and correspond with

Title

Organization

Address 1

Address 2*

City

State

Zip

Country

Work Phone

FAX

E-mail

WEB URL

Brief description of your Web Site and a few thoughts as to how you would like to link to our site (where you anticipate placing the link graphics, for example)?

How did you learn about our Associates Program?

If this application is accepted by Live Free, Inc.: (1) you will then be eligible to earn referral fees in accordance with the "LiveFreeOnline.com™ Associates Program Operating Agreement" (the "Operating Agreement" - see below); (2) we will provide you with guidelines and graphical artwork options (banners and buttons) to use in linking to our site; and (3) to permit accurate tracking, reporting, and referral fee accrual, we will provide you with special "tagged" link formats to be used in all links between your site and our site.

By completing and submitting the following application, you acknowledge that you have read the Operating Agreement and agree to all of its terms and conditions. A current copy of the Operating Agreement is available by clicking the yellow button which follows: