The Real Social Dynamics Affiliate Program
  
Thanks for applying to become a Real Social Dynamics affiliate.
All you have to do is fill out this form. When you complete the
form, you will be taken to the affiliate resource page.

Real Social Dynamics Affiliate Application Form
Country:
Name of Business:
URL: http://
Description:
Traffic: visitors per month
Make Checks Payable To:
Business Address:
Apt/Suite #:
City/Town:
State:
Zip:
Contact:
First:
Last:
Email: (this is your login name)
Phone:
Password: (4-10 characters)
Terms:
   I agree to the terms above