Copernic Media Solutions
   

    

Search Solutions Information Request Form

All mandatory fields are marked with a (*)

Company Name: *
Website Name: *
Contact Name: *
Contact Title: *
Payee Name: *
SSN/EIN#:
Email: *
Phone: *
Fax
Address1: *
Address2:
City: *
State/Province: *
Zip/Postal Code: *
Country: *

I am interested in:
Are you an affiliate network (indicate yes or no)?
If yes, What % of your traffic comes through your affiliate network? %
If you are an affilates network, how many affiliates do you currently have?
Do you currently have a working business relationship with any engines?

FRAUD DETECTION QUESTIONS:

Do you currently have any measures in place to prevent fraud (robotic, or proxy based clicks) - Indicate Yes or No:
If you do, please give a brief description of what methods you employ:

TRAFFIC QUESTIONS:

Indicate Traffic Information Below - Note: If You Are A Network Please Type Network In The Url Box.
Note Also: It Is Necessary To Indicate The Traffic To Your Company's Url
URL HITS/DAY UNIQUES/DAY SEARCHES/DAY CLICKS/DAY %US TRAFFIC %CAN TRAFFIC %UK TRAFFIC

 
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