Internships4You: Affiliate Sign Up

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Please fill out the following form as completely as possible, click the “Submit” button,
and we will contact you with more information if you are a candidate for our Affiliate Program.

Note: Fields marked with an * are required.

Contact Information
This person will receive additional information about our Affiliate Program.
*Name/Organization Name:
Title:
*Email: (Will be your username)
*Password:
*Password Confirm:
Phone:
Fax:

Company Information
Basic information about your company.
Company Name:
Type of Industry:
Address 1:
Address 2:
City:
State:
Zip Code:
Country:
Website URL:
Describe what you use your website for.
How could your company market Internships4You’s services?

Network Information
Basic information about your business network or membership.
Composition of your network/membership (ex: Small Business Owners)
Size of your network/membership
Do you regularly correspond with your network/membership?		Yes No
If yes, how many times a year?
Do you hold any networking events or membership meetings?		Yes No
How many times a year?
How many people attend these meetings?