CPA Offer Form
E-mail Address:
Best Contact #:
Product or service:
Action required for payout:
Target market:
URL to view creative samples:
Landing page link:
Security Code:  
Network placement*?

Yes No

Comments from Advertiser - You may use this area to explain why this is a great campaign. You can also use this area to talk about past results, including metrics such as effective CPM (eCPM), average open rate, average click-thru rate, average sales conversion rate, and average order amount.

*Network placement is not guaranteed even if your test campaign results in full deployment.  All offers being considered for network placement have to meet strict performance guidelines.  For more information about our guidelines please speak with on of our sales staff.