Sign Up

1. Choose a banner, fill in all information and the URL where you plan to put your banner (the banner will function anywhere, but it helps us to monitor activity). Make sure your email address is entered correctly; the HTML code you need to add to your page is sent to your email address. 2. Click on the Sign-Up button. The code you need to add to your page should arrive in your email in a few seconds. Make sure you do not alter the code in any way; changing it could result in someone else receiving credit for your banner! 3. Add the code to your webpage and upload your new page. Try clicking on the banner once to make sure it works.

(All fields are required)
First Name:
Last Name:
Company:
Checks Payable To:
Email:
Phone:
Address:
City:
State:
Country:
Zip:
URL where banner will appear:
Social Security Number or Federal Tax ID
Choose your commission rate (you can change this up until the time your first commission check is paid)	50/0 30/20 *If you choose 50/0, you will receive a 50% commission on all new system sales and 0% commissions on all replacement cartridge and accessory sales *If you choose 30/20, you will receive a 30% commission on all new system sales and 20% commissions on all replacement cartridge and accessory sales
Choose a Password:

I understand that I may not promote these products/services or this Affiliate Program by sending unsolicited mailings (SPAM).