Elliott Wave International - Expert Financial Market Forecasting

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Website Information
Website Name:
URL:	http://
Shipping Information
Name:	First:	Last:
Title:
Address 1:
Address 2:
City:
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Postal Code:
Country:
Phone:		Fax:
E-Mail:
Primary Contact Same as Shipping Address
Name:	First:	Last:
Title:
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E-Mail:
Payment Information Same as Shipping Address
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City:
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User ID/Password for Elliottwave.com Affiliate Reports Your User ID must be at least 3 characters, and your Password must be at least 5 characters. The User ID and Password can NOT be the same. If your application is approved, you will receive a "welcome" email within a couple of business days, containing your User ID and Password. The User ID and Password that you place here are not guaranteed, but we will do our best to make sure that it is easy for you to remember if not similar. Please keep the "welcome" email when it comes, so that you can refer to it for your User ID and Password, and other important information.
User ID:
Password:		Confirm Password:

Visitors to my site are:

Most Visitors to this site are looking for information about (select all that apply):
Interest Rates Precious Metals Stocks
Energy/Commodities Currencies Non-U.S. Markets

On average, the number of monthly unique visitors to my site is:

On average, the number of monthly page views on my website is:

The reason(s) I maintain my website is/are to (select all that apply):
Sell my own products and services
Sell other people's products and services for commissions
Educate investors on a particular aspect or persuasion of the markets
Provide a link portal for investors to find other people's resources
Other (please specify)

I collect the following visitor contact information on one or more pages of my website (select all that apply):
Name Phone Email Address Mailing Address
Other (please specify)
None, I do not collect visitor contact information
I would like some suggestions on how I could collect visitor contact information

How many visitor contacts have you gathered through these efforts?

I use the information I collect to (select all that apply):
Send educational Information (e-newsletters, etc.)
Send marketing messages for my products and services
Send marketing messages of 3rd party products and services (i.e. affiliates)
Notify visitors of updated content on my site
I don't currently use it for anything, but would consider
I don't want to use it for anything

How did you first hear about the EWI Affiliate program?
Other

I have read and agree with the above "Affiliate Operating Agreement".