Platinum Web Site Services - Affiliate Form
Return to Platinum Services Our Affiliates earn $60.00 per sale. Tell your friends, business acquaintances and neighbors about our services. Have them mention your name when they sign up and you can earn some extra cash.$
Please fill in all fields marked with a *
	Company Name
	Contact Name	*
	Address	*
	Address 2
	City	*
	State
	Zip Code	*
	Country
	Phone Number	*
	Fax
	Email	*
	How did you hear about us
	Comments

$ Affiliates are paid 60 days from the date of sale, providing no cancellations have occurred.
Platinum Services Brochure - (Word Format)