Before filling out this application, please read our Affiliate License Agreement Remember, your site must have "child-safe" content in order to be accepted. Note: All fields below must be filled in for application to be processed without delay. If you would rather fax us the affiliate application, please print and fill out the alternative application and fax it to 214-361-1753
SITE INFORMATION
Site Name:
URL of Site:
CO-BRAND OR PRIVATE LABEL
We have two options for you to choose from, co-brand or private label. Co-branded site - Requires a 234x60 logo in .gif format that you provide and will have our logo along with it. See Example. Private Label site - Requires a 585x75 logo in .gif format with your logo being the only one showing on the url. See Example. Most sites will be done as co-brands, if you choose the private label option, one of our representatives will contact you to discuss the option. Please check the option you wish to signup for.
Co-Brand
Private Label
CONTACT INFORMATION
Name:
Address 1:
Address 2:
City/State/Zip Code:
Country:
Phone:
Fax:
E-Mail:
COMMISSION CHECKS should be sent to:
Pay to:
	SAME AS ABOVE
Address 1:
Address 2:
City/State/Zip Code:
Country:
Phone:
Fax:
E-Mail:
All information submitted on this application will remain confidential and proprietary. By Pressing the "apply" button, you indicate that you wish to participate in the HRN Affiliate Program, that you have reviewed the Affiliate License Agreement, and that you agree to be bound by its terms and conditions.