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Smiley Media Publisher Registration

Please fill out the form to set up your account.

Publisher Name *
Contact Name *
Email Address *
Password *
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number (Will Be Validated)
Smiley Media Contact *
Authorized URL(s) Where You Will Place Smiley Media Advertising
Average Registrations/User Actions Per Day
Additional Comments
Go Live Date MM / DD / YYYY
Here is a link to a W-9 form. Please fill it out and send it to us after your account is created. http://www.irs.gov/pub/irs-pdf/fw9.pdf

Here is a link to our privacy policy.

Privacy Policy

Here is a link to our Publisher Terms and Conditions.

http://www.smileymedia.com/services/adv/doc/SmileyMediaPublisher-Terms.pdf

THIS ADVERTISING NETWORK AGREEMENT ("Agreement"), dated as of (the "Effective Date"), is by and between Smiley Networks, Inc. ("SNI") and the distribution partner identified above ("Publisher"). The Agreement shall consist of this Insertion Order and the Terms and Conditions located at http://www.smileymedia.com/services/adv/doc/SNI-terms.pdf. Revenue share will be divided evenly between Publisher and SNI.

Do you accept the terms of this agreement? *
Yes No
Do Not Fill This Out