Home-Based Travel Agent
Affiliate Program Application

Contact Information

Please fill out the name and address of the person in charge of the sponsoring Web site. This is the person to whom we will address all correspondence about your participation in the Associates Program.

Note: You must enter a password to protect your account and you must enter the admin contact email address so that we can contact you if required.

Administrative Contact Information
Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal:
Country:
Phone:
Fax:
Email:
Confirm Email:
Please double check your email address in the above field, as this is where we will be sending you all of your information.



Payee Contact Information


Please fill out the name and address of the person to whom we should send referral payments earned through this program.

Please fill out all of the fields, even if they are the same as above, as this information is automatically imported into our database and what you input here will be what name appears on your monthly check and where the check is mailed to.


Click here if info is same as Admin info
Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal:
Country:
Phone:
Fax:
Email:



Tax ID:
Password :

Password (confirm):

Web site URL:

Web site Title:




Web site Description:


IMPORTANT

When you click on the "Submit Application" button below, you will be assigned an ID number that will be used for tracking your sales and commissions.

You will also be sent an email with the custom URL you will use to link to our site. If your ID number was "123456," your custom URL would look like this:

http://www.hometravelagency.com/cgi-bin/at.cgi?a=123456

If you would like to replace the ID number in your URL with a word (your name, or the name of your web site, for example) you can do that instead. If you chose the word "travel," your URL would look like this:

http://www.hometravelagency.com/cgi-bin/at.cgi?a=travel

To choose your word, which must be unique to you and not already in use by another affiliate, please enter it into the field below. If the word you request is already taken, you will be asked to choose another one.

The keyword I'd like:

 (Note: If you choose a keyword above, please be sure to write it down.  When you receive your confirmation email, it will show your custom URL with your ID number, not your custom word. Sorry for any inconvenience this may cause. We are still tweaking the system!)

   



If you experience any problems, please send an email to:

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