New Account

Account Name
User Name* Naming rules for user name: company_country_admin
Skype / QQ*
Traffic Info

What are the verticals that you are currently running?*

What are the offer types that you are currently running?*

What other networks do you work with(AM's name,telphone,email,IM)?*

What are the Verticals that you're interested in running/learning about more with us?*

Are there specific offers you are looking to run with our network and how did you find out about them?*

What top 3 Regions do you mostly run in? *

What traffic types do you generally use for promotional purposes?*

Basic Information
*Supplier Type:
Partner's Full Name: *Partner's English Name:
*Supplier Registered Address: *Supplier Company Group:
*Supplier Main Business Address: *Supplier Mailing Address:
*Supplier Address of head office: *Public listed companies:
Whether visited the main business address:
*Business Category: *Business Sub-category:
*Supplier Attribute: *Media Attribute:
*Traffic Mode:
Total Office Area:
㎡
 Number of employees:
Company Tel: Company Fax:
Legal Representative: Legal Representative Tel:
Official Webpage: Reference Customers/Projects:
Business scope/Product Description/Product Features:
Registration Information
Supplier Date of establishment: Stock Symbol:
Tax Registration Certification Number: Authorized capital:
*Registered Capital:
Unknown overseas company entity:
*Valid ID Number(?):
Account Information
Payment Way Account Name Account Number Bank Name Branch Name Bank Country Branch Address *Email for Payoneer/Paypal SWIFT Code IBAN CODE *Payee Address
*Bank Code *Branch Code *Union Number *IFSC(For India) Intermediary Bank Account Number *Intermediary Bank Swift *Intermediary Bank Name *Intermediary Bank Address *type of Receiving Bank Identification Number *way of Service Charge
*Country Code
Associated information
Enterprise Structure: Please upload pdf,docx,jpg,png,jpeg,xlsx,xls,doc,eml,msg Formatted files，A single attachment does not exceed 30M

Company Information

Company Type Registered Name Registered Address
Qualification Information
*Qualification information: Please upload pdf,docx,jpg,png,jpeg,xlsx,xls,doc,eml,msg Formatted files，A single attachment does not exceed 30M
Contact Person Information
*Contact Name *Gender *Position *TEL
*EMAIL
(Please fill in the mailbox of the corporate email suffix as much as possible.)
*Address
Contact Preferences

Best Time to Reach You?*

Suggested AM

Additional Notes

Final Comments

Please include any other Information that we should know about you and your company

Password*

Confirm Password*

Validate Code*

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