AIT - Adult Income Track. Making You Money!


	August 28, 2008 (Thursday) 11:54 AM

Webmaster Application

Are you ready to join our team of valued affiliates? Then please fill out all the required fields below indicated by the red asterisks *. Upon the submission of this form, we will instantly send you further instructions on how to utilize your account.


		Website Information

Website Name
Website URL


		Contact Information

*Email Address
*Contact Name
AOL Instant Messenger


		Payment Information

*Program Type
*Checks Payable To
*Address
*City
*State / Province
*Zip Code
*Country
*Tax ID / SSN
Only in U.S.	Note: The Tax ID or S.S.N. field must be formated as follows: The numbers must contain dashes. Tax ID: (xx-xxxxxxx) SSN: (xxx-xx-xxxx)


		Funds Distribution

Minimum Payout

Please enter U.S. dollar amounts rounded to
the nearest dollar without any dollar signs.

*Desired Payment

	Standard Check
	PayPal
	Overnight Check
	(Fee: $15 US / $25 International)


		Login Information

*Admin Password
*Verify Password
	Maximum of 20 characters!


		Legal Information

*Date of Birth

I agree to the conditions outlined in the
terms of service agreement

*Digital Signature

Enter your name in the box above to digitally "sign" the form.