Wufoo
Smiley Media Referral Registration
Do you know someone who would be a fit for Smiley Media? Do you want to make some money while helping Smiley Media grow? For every referral that you send us we will pay you 10% of their billings for 6 months!
Interested? Please fill out this form to set up a new referral.
Who are you?
Please fill out the following information in order to get proper credit from your referral:
Your Name
*
First
Last
Your Company Name
*
Your Email Address
*
Your Phone Number
*
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Who are you referring?
Please fill out the information for the company you are referring
Name of the Publisher you are Referring
*
Contact Name you are referring
*
Email Address you are referring
*
Phone Number (Will Be Validated)
Smiley Media Contact
*
Amos S.
Matt T.
Steve O.
Steven M.
Other
Additional Comments
Here is a link to our privacy policy.
Privacy Policy
THIS REFERRAL AGREEMENT ("Agreement"), dated as of the date this Referral Registration Form is submitted (the "Effective Date"), is by and between Smiley Media, Inc. and the individual listed in the "Your Name" field above (the "Representative"). The Agreement shall consist of this Referral Registration Form and Smiley Media Standard Referral Terms located at
http://www.smileymedia.com/media/SmileyMediaReferralTerms.pdf
.
Do you accept the terms of this agreement?
*
Yes
No
Do Not Fill This Out