Your Contact Information:

Your First & Last Name: Company Name:

Company Address: City: State: Zip:

Company Phone: --  Company Email Address:

Company Website:   Website to Advertise:

Your Payment Interest (Check All that Apply):

  I want to pay a flat daily rate, regardless of how many clicks, leads and sales I receive.

  I want to pay per impression.

  I want to pay per click.

  I want to pay per lead.

  I want to pay per sale.

Your Marketing Medium Interest (Check All that Apply):

  I want to be advertised with Banners or Text.

  I want to be advertised with Flash or Video.

  I want direct customer acquisition by placing my customer application form onto other websites.

Your Marketing Platform Interest (Check All that Apply):

  I want to be advertised on Websites.

  I want to be advertised via Email Marketing.

  I want to be advertised via Search Marketing.

How do You want to Recruit and Manage Affiliates?

  I want Pulsar Marketing to recruit and manage affiliates for me, thus charging me a higher advertising rate.

  I will recruit and manage my own affiliates, thus reducing my advertising costs.

Can You Install Pulsar Marketing's Pixel Tracking Tag?

No, I cannot install Pulsar Marketing's Pixel Tracking Tag

Yes, I can install Pulsar Marketing's Pixel Tracking Tag

Are there Any Affiliate Recruitment Links Anywhere on the Website You Want Us to Advertise?

Yes, there is at least one Affiliate Recruitment Link on the Website (Domain)

No, the Website (Domain) is Completely Void of Affiliate Recruitment Links

If Pulsar Marketing Offers You an Appealing Deal, How Soon would You Advertise?

  I would advertise within 10 days

  I would advertise within 30 days

  I would advertise within 60 days

  I wouldn't advertise until sometime after 60 days

Other (Check All that Apply):

  I want a hosted, co-branded version of Flat Rate advertising software that enables me to pay my affiliates a daily rate based upon their individual website traffic ranks. I want the software hosted exclusively for my use and void of competitors.

  I want a hosted, co-branded version of Content Matching software that enables me to pay my affiliates per lead or per sale commissions for valid customer applications. I want the software exclusively for my use and void of competitors.

  I want a hosted, co-branded version of Search Engine Marketing software that enables me to pay my affiliates per lead or per sale commissions for search traffic that results in valid customer applications. I want this software exclusively for my use and void of competitors.

  I want a hosted, co-branded version of Affiliate Application Hosting software that enables me to gain a competitive edge by getting affiliates to promote me instead of my competitors, and allows me to pay my affiliates per lead or per sale commissions for valid customer applications. I want the software exclusively for my use and void of competitors.

Free Optional Service:

  I (and/or My Affiliates) desire to use Pulsar Marketing's Free Email Marketing Software. I understand I (and/or My Affiliates) must recruit the subscribers and must also allow Pulsar Marketing to solicit the subscribers I (and/or My Affiliates) recruit.