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.af-textWrap{text-align:left;}.af-body input.image{border:none!important;}.af-body input.submit,.af-body input.image,.af-form .af-element input.button{float:none!important;}.af-body input.text{width:100%;float:none;padding:2px!important;}.af-body.af-standards input.submit{padding:4px 12px;}.af-clear{clear:both;}.af-element label{text-align:left;display:block;float:left;}.af-element{padding:5px 0;}.af-form-wrapper{text-indent:0;}.af-form{text-align:left;margin:auto;}.af-header,.af-footer{margin-bottom:0;margin-top:0;padding:10px;}.af-quirksMode .af-element{padding-left:0!important;padding-right:0!important;}.lbl-right .af-element label{text-align:right;}body {}</style><form method=\"post\" class=\"af-form-wrapper\" action=\"http://www.aweber.com/scripts/addlead.pl\" target=\"_new\" ><div style=\"display: none;\"><input type=\"hidden\" name=\"meta_web_form_id\" value=\"466280997\" /><input type=\"hidden\" name=\"meta_split_id\" value=\"\" /><input type=\"hidden\" name=\"listname\" value=\"bbaffiliatesnew\" /><input type=\"hidden\" name=\"redirect\" value=\"http://www.bannerblindness.com\" id=\"redirect_313c80778654190b9ee6cd796639d63c\" /><input type=\"hidden\" name=\"meta_adtracking\" value=\"My_Web_Form\" /><input type=\"hidden\" name=\"meta_message\" value=\"1\" /><input type=\"hidden\" name=\"meta_required\" value=\"name,email\" /><input type=\"hidden\" name=\"meta_tooltip\" value=\"\" /></div><div id=\"af-form-466280997\" class=\"af-form\"><div id=\"af-header-466280997\" class=\"af-header\"><div class=\"bodyText\"><p style=\"text-align: center;\"><span style=\"font-size: 16px;\"><span style=\"font-family: arial,helvetica,sans-serif;\">Advertisers &amp; Publishers please fill out as much of the below registration form as you can:</span></span></p></div></div><div id=\"af-body-466280997\" class=\"af-body af-standards\"><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385044\">Name: </label><div class=\"af-textWrap\"><input id=\"awf_field-8385044\" type=\"text\" name=\"name\" class=\"text\" value=\"\"  tabindex=\"500\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385045\">Email: </label><div class=\"af-textWrap\"><input class=\"text\" id=\"awf_field-8385045\" type=\"text\" name=\"email\" value=\"\" tabindex=\"501\"  /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385046\">Mobile cell phone:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385046\" class=\"text\" name=\"custom cell phone\" value=''  tabindex=\"502\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385047\">Zip:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385047\" class=\"text\" name=\"custom zip\" value=''  tabindex=\"503\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385048\">Your businesses website:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385048\" class=\"text\" name=\"custom Your website\" value=''  tabindex=\"504\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385049\">The types of offers you run or are looking to run:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385049\" class=\"text\" name=\"custom the types of offers you run\" value=''  tabindex=\"505\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385050\">Number of clicks you deliver in a month:</label><div class=\"af-selectWrap\"><select id=\"awf_field-8385050\" name=\"custom number of clicks you deliver in a month\" tabindex=\"506\" > <option class=\"multiChoice\" value=\"1000 - 10000\">1000 - 10000</option><option class=\"multiChoice\" value=\"10000 - 50000\">10000 - 50000</option><option class=\"multiChoice\" value=\"50000 - 100000\">50000 - 100000</option><option class=\"multiChoice\" value=\"100000 - 500000\">100000 - 500000</option><option class=\"multiChoice\" value=\"500,000 \">500,000 </option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-8385050\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385051\">Example of the types of landing pages you use:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385051\" class=\"text\" name=\"custom your landing page url\" value=''  tabindex=\"507\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385052\">Alternative traffic sources you utilize:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385052\" class=\"text\" name=\"custom alternative traffic sources you utilize\" value=''  tabindex=\"508\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385053\">Do you take advantage of incentivized traffic:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385053\" class=\"text\" name=\"custom do you take advantage of incentived traffic\" value=''  tabindex=\"509\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385054\">Are you an advertiser publisher or both:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385054\" class=\"text\" name=\"custom are you an advertiser publisher or both\" value=''  tabindex=\"510\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385055\">If you are an advertiser what is your tracking url or destination page:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385055\" class=\"text\" name=\"custom if you are an advertiser what is your tracking url\" value=''  tabindex=\"511\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385056\">Do you advertise on craigslist or spam any websites:</label><div class=\"af-selectWrap\"><select id=\"awf_field-8385056\" name=\"custom do you advertise on craigslist\" tabindex=\"512\" > <option class=\"multiChoice\" value=\"yes\">yes</option><option class=\"multiChoice\" value=\"no\">no</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-8385056\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385057\">Do you do ppc advertising on google yahoo and msn:</label><div class=\"af-selectWrap\"><select id=\"awf_field-8385057\" name=\"custom do you do ppc advertising on google yahoo and msn\" tabindex=\"513\" > <option class=\"multiChoice\" value=\"yes\">yes</option><option class=\"multiChoice\" value=\"no\">no</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-8385057\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385058\">What esp service provider do you work with:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385058\" class=\"text\" name=\"custom what esp service provider do you work with\" value=''  tabindex=\"514\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385059\">What is your advertising budget:</label><div class=\"af-selectWrap\"><select id=\"awf_field-8385059\" name=\"custom what is your advertising budget\" tabindex=\"515\" > <option class=\"multiChoice\" value=\"$500 - $2500\">$500 - $2500</option><option class=\"multiChoice\" value=\"$2500 - $10,000\">$2500 - $10,000</option><option class=\"multiChoice\" value=\"$10,000 - $50,000\">$10,000 - $50,000</option><option class=\"multiChoice\" value=\"$50,000 - $100,000\">$50,000 - $100,000</option><option class=\"multiChoice\" value=\"$100,000 - $500,000\">$100,000 - $500,000</option><option class=\"multiChoice\" value=\"$500,000 \">$500,000 </option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-8385059\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385060\">What display network(s) do you primarily work with:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385060\" class=\"text\" name=\"custom what display network do you primarily work with\" value=''  tabindex=\"516\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385061\">Please provide three industry references: company, email, and phone:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385061\" class=\"text\" name=\"custom please provide three industry references\" value=''  tabindex=\"517\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385062\">Are you looking for database list management for large scale direct-mail marketing campaigns:</label><div class=\"af-selectWrap\"><select id=\"awf_field-8385062\" name=\"custom Are you looking for database list management for large scale direct-mail marketing campaigns\" tabindex=\"518\" > <option class=\"multiChoice\" value=\"Yes\">Yes</option><option class=\"multiChoice\" value=\"No\">No</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-8385062\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385063\">Do you need a landing page or graphic design work created:</label><div class=\"af-selectWrap\"><select id=\"awf_field-8385063\" name=\"custom Do you need a landing page created\" tabindex=\"519\" > <option class=\"multiChoice\" value=\"Yes\">Yes</option><option class=\"multiChoice\" value=\"No\">No</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-8385063\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385064\">Are you looking for more profitable PPC traffic on Google Yahoo or MSN:</label><div class=\"af-selectWrap\"><select id=\"awf_field-8385064\" name=\"custom Are you looking for more profitable PPC traffic on Google Yahoo or MSN\" tabindex=\"520\" > <option class=\"multiChoice\" value=\"Yes\">Yes</option><option class=\"multiChoice\" value=\"No\">No</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-8385064\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385065\">Are you looking to enhance your Search Engine Optimization marketing strategy:</label><div class=\"af-selectWrap\"><select id=\"awf_field-8385065\" name=\"custom Are you looking to enhance your Search Engine Optimization marketing strategy\" tabindex=\"521\" > <option class=\"multiChoice\" value=\"Yes\">Yes</option><option class=\"multiChoice\" value=\"No\">No</option></select></div><input type=\"hidden\" name=\"meta_preselected_awf_field-8385065\" value=\"\"/><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385066\">What is your bank account number:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385066\" class=\"text\" name=\"custom What is your bank account number\" value=''  tabindex=\"522\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385067\">What is your banks routing number:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385067\" class=\"text\" name=\"custom What is your banks routing number\" value=''  tabindex=\"523\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385068\">What is your companys EIN number:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385068\" class=\"text\" name=\"custom What is your companys EIN number\" value=''  tabindex=\"524\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element\"><label class=\"previewLabel\" for=\"awf_field-8385069\">What is your corporation called:</label><div class=\"af-textWrap\"><input type=\"text\" id=\"awf_field-8385069\" class=\"text\" name=\"custom What is the your corporation called\" value=''  tabindex=\"525\" /></div><div class=\"af-clear\"></div></div><div class=\"af-element buttonContainer\"><input name=\"submit\" class=\"submit\" type=\"submit\" value=\"Submit\" tabindex=\"526\" /><div class=\"af-clear\"></div></div><div class=\"af-element privacyPolicy\" style=\"text-align: center\"><p><a title=\"Privacy Policy\" href=\"http://www.aweber.com/permission.htm\" target=\"_blank\">We respect your email privacy</a></p><div class=\"af-clear\"></div></div></div><div id=\"af-footer-466280997\" class=\"af-footer\"><div class=\"bodyText\"><p style=\"text-align: center;\"><span style=\"font-size: 10px;\">Copyright 2010 BannerBlindness.com Inc. 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