Affiliate Program Application

Our Affiliate Program is free to join and you can instantly generate an ongoing stream of income for you without any cost or obligation on your part.

Primary Contact Information

Please fill out the name and address of the person in charge of your website. This is the person to whom we will address all correspondence about your participation in the Associates Program.

 
Company Name:
(Required: Enter name if you don't have a company)
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal:
Country:
Phone:
Fax:
Email:   * Required
Confirm Email:   * Required
  Please double check your email address in the above field, as this is where we will be sending you all of your information.
 

Payee Contact Information
Please fill out the name and address of the person to whom we should send referral payments earned through this program (only if different than information above).
 
My payee information is the same as above. (Uncheck this box if you would like to enter a different name and address for checks to be payable to).


Tax ID: (This is not required at this moment but will be in the future if your annual commissions exceed a certain amount).
 

Password: (Create a password that is easy to remember so that you can log in regularly to check your sales and commissions).

Password (confirm):

 
 Website URL:
E.g. - "www.abc.com"
Website Title:
 E.g. - "The ABC Company"

 
Website Description:
 E.g. - "A site specializing in teaching the alphabet through music"
 
   

You will be contacted within 5 minutes by email with your special assigned URL and easy instructions on how to get everything set up immediately.

Enter one unique keyword to describe your website:

If you experience any problems, please email affiliates@hearandplay.com

Hear & Play Music, Online!
15771 Rockfield Blvd. Ste 250 * Irvine, CA 92618-2847
Phone / Fax: 1-877-856-4187
© 2000-2007 Hear and Play Music, Inc.