Publisher Application

First Name *

Last Name *

Email Address *

Phone *

Alternative Phone Number *

Skype Username *

Social Media Profile *

Best time to contact you (PST): *

Preferred method of contact: * EmailPhoneSkype

Country * AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Company *

Company Website *

What is your preferred payment threshold? * $100$500$1000

What promo methods do you use to drive traffic? * SEOPaid SearchSocialDisplayEmailSMSClassifiedsDirectoryOfflineOtherTV & Radio

What types of offers are you interested in running with RingPartner? * Pay Per CallCPLCPECPICPMCPACPS

What verticals are you interested in running with RingPartner? * Auto ServicesEducationFinancial ServicesHome ServicesInsuranceIT ServicesLegal ServicesMedical ServicesPersonal ServicesPet ServicesTelecom/InternetTravelOther

Have you previously applied to partner with us? * YesNo

What is your current monthly ad spend? *

Performance Marketing experience: * Less than 1 year1 to 3 years3+ years

Pay Per Call experience: * Less than 1 year1 to 3 years3+ years

Are you currently running traffic on any other Pay Per Call or CPA networks? * YesNo

What are the top offers you are currently running, and where? *

What is your average monthly revenue with other networks? * $0 - $1,000$1,000 - $5,000$5,000 - $10,000$10,000 - $50,000$50,000 - $100,000$100,000+

Number of people on your team: * 12-56-1011+

How did you hear about us? * RingPartner Account ManagerCurrent RingPartner PublisherConferenceWebsiteSocial MediaSearch EngineForumOther

Referral Name (if applicable)

Promo Code Optional

I have read and agree to abide by the RingPartner Terms and Conditions.

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