ListOpt's Ezine Giveaway Affiliate Application

If you have any questions,
please .

ListOpt is one of the best affiliate programs I've ever used.
It not only pays more money than others I've tried, but
brings a free service to my visitors.

Getting paid through Paypal is another big plus for me.

Steve Moore -- Webmaster, Personal-Development.Com

Top Reasons why YOU should join the ListOpt Affiliate Program:

- You make money after people leave your website.
- 46% Commission Rate!
- High Closing Ratios.
- You choose the lists that interest your traffic
- Monthly Payouts - Low $20 Minimum
- Weekly Stats emailed to you directly
- Dedicated Affiliate Support Team
- $0.08 for every unique, confirmed subscription! On average, each subscriber requests 7 subscriptions. (Commission Plan)
- We'll pay YOU $5.00 when you join

Affiliate Application Form
All Fields Must Be Completed. Have a question? .

Your Name:


Company Name:


Make Payments Payable to:


URL of Your Home Page:


URL of the webpage where you will be promoting our ezines:


Street Address:


City:


State/Provice:


Country:


Zip/Postal:


Telephone Number:


Email Address:

*web based email addresses such as hotmail or yahoo will be ignored

PayPal Email Address:
This address to pay you your commissions.
To sign up for a free PayPal account, visit PayPal.com

*web based email addresses such as hotmail or yahoo will be ignored

Tax ID / Social Security #:


Create a Username: (6- 12 characters)


Create a Password: (6- 12 characters)


YES, I agree to the Affiliate Terms