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MouseRug Info

MouseRug Associate Program Application

Item #: mapagree

$

Please enter the name (one only), address and other information
about the individual or entity (company) to whom we will make the
checks payable. Payee Contact Information Payee's Name:

Street Address:

City:

State:

ZIP Code:

Phone Number:

Email Address:
Correspondance Contact Information Please enter below the contact information for the person with
whom we can correspond about participation in the MouseRug
Associates Program (MAP). Contact Person's Name:

Street Address:

City:

State:

ZIP Code:

Phone Number:

Email Address:

Description of Your Web Site
Please enter below the URL of the Web Site through which you
would like to link to MouseRug.com.
Site Home Page URL:
Site Name:
Site Description
Please let us know here briefly how you intend to set up links
to MouseRug.com:
Finally How did you learn about the MouseRug.com Associates Program?
Select One:
By clicking on the "I Agree" button below, you are applying for
participation in the MouseRug.com Associates Program (MAP),
you are indicating that you have read, understand and are
in agreement with the MAP Agreement and that, subject to our
acceptance of the Application, you agree to be bound by the terms
and conditions of the MAP Agreement.