At Commission Junction we offer bespoke affiliate marketing solutions to our clients.

This information request form will allow us to evaluate your current marketing initiatives and recommend the appropriate solution for your online marketing needs.

In order to expedite your request for information, we require that you complete all of the fields below. All information is considered confidential and will be used for internal review only. After you have submitted the form, we will carefully review the information and contact you as soon as possible.

Do you want to earn commissions for selling products?: *

Yes (You are a publisher)

No (You are an advertiser)

Contact Information

First Name: *

Last Name: *

Title/Function in Organisation:

Phone: *

Email: *

Company Information

Organisation Name: *

Web site URL: *

Street:

City:

ZIP/Postal code:

Country: - None -UNITED KINGDOMAFGHANISTANALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA AND HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRITISH INDIAN OCEAN TERRITORYBRUNEI DARUSSALAMBULGARIABURKINA FASOBURUNDICAMBODIACAMEROONCANADACAPE VERDECAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLANDSCOLOMBIACOMOROSCONGOCONGO, THE DEMOCRATIC REPUBLIC OF THECOOK ISLANDSCOSTA RICACROATIACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICECUADOREGYPTEL SALVADOREQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDS (MALVINAS)FAROE ISLANDSFIJIFINLANDFRANCEFRENCH GUIANAFRENCH POLYNESIAFRENCH SOUTHERN TERRITORIESGABONGAMBIAGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUATEMALAGUINEAGUINEA-BISSAUGUYANAHAITIHOLY SEE (VATICAN CITY STATE)HONDURASHONG KONGHUNGARYICELANDINDIAINDONESIAIRELANDISRAELITALYJAMAICAJAPANJORDANKAZAKHSTANKENYAKIRIBATIKOREA, REPUBLIC OFKUWAITKYRGYZSTANLAO PEOPLE'S DEMOCRATIC REPUBLICLATVIALEBANONLESOTHOLIECHTENSTEINLITHUANIALUXEMBOURGMACAOMACEDONIA, THE FORMER YUGOSLAV REPUBLIC OFMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIA, FEDERATED STATES OFMOLDOVA, REPUBLIC OFMONACOMONGOLIAMONTSERRATMOROCCOMOZAMBIQUENAMIBIANAURUNETHERLANDSNETHERLANDS ANTILLESNEW CALEDONIANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN MARIANA ISLANDSNORWAYOMANPAKISTANPALAUPALESTINIAN TERRITORY, OCCUPIEDPANAMAPAPUA NEW GUINEAPARAGUAYPERUPHILIPPINESPITCAIRNPOLANDPORTUGALPUERTO RICOQATARREUNIONROMANIARUSSIAN FEDERATIONRWANDASAINT HELENASAINT KITTS AND NEVISSAINT LUCIASAINT PIERRE AND MIQUELONSAINT VINCENT AND THE GRENADINESSAMOASAN MARINOSAO TOME AND PRINCIPESAUDI ARABIASENEGALSERBIA AND MONTENEGROSEYCHELLESSIERRA LEONESINGAPORESLOVAKIASLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDSSPAINSRI LANKASURINAMESVALBARD AND JAN MAYENSWAZILANDSWEDENSWITZERLANDTAIWANTAJIKISTANTANZANIA, UNITED REPUBLIC OFTHAILANDTIMOR-LESTETOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED STATESUNITED STATES MINOR OUTLYING ISLANDSURUGUAYUZBEKISTANVANUATUVENEZUELAVIETNAMVIRGIN ISLANDS, BRITISHVIRGIN ISLANDS, U.S.WALLIS AND FUTUNAWESTERN SAHARAYEMENZAMBIA

Tax Classification: - None -Individual/Sole ProprietorCorporationLLC/LLPNon-profit/GovernmentPartnershipLTDPLCOther

General Marketing Information

Are you a third party working on behalf of an advertiser (e.g., an agency or consultant)?: - None -YesNo

What was your company's total online revenue for the last 12 months?: - None -£0 to £500,000£500,001 to £1,000,000£1,000,001 to £5,000,000£5,000,001 to £10,000,000£10,000,001 to £50,000,000£50,000,001 or moreDecline to state

What is your company's total number of full-time employees?: - None -1 to 56 to 2021 to 5051 to 100101 or more

How long has your company been selling products or services online?: - None -less than 6 months6 to 12 months1 to 3 years3 or more yearsNot Currently

What is your approximate online marketing budget for the next 12 months?: - None -£0 to £100,000£100,001 to £500,000£500,001 to £1,000,000£1,000,001 to £1,500,000£1,500,001 or moreDecline to state

Do you already have an advertiser account?: - None -YesNo

Search Engine Marketing

Are you interested in search engine marketing solutions?: - None -YesNoDo not know

What is your approximate SEM budget for the next 12 months?: - None -Less than £25,000£25,000 plusN/AUndisclosed

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