Affiliate Application

Become an Affiliate of The Antarctic Connection
Send visitors to our web site and earn 10-15% of all sales as a result.

URL of your website*:

Average monthly unique visitors
*:

Email Address:*

First Name
*:

Last Name
*:

Address
*:

City
*:

State
*:

Zip Code
*:

Country:

Type of link preferred?
Logo, Image, or Text Link  = 10% referral earned
Full Product Page(s) = 15% referral earned
*

Business Phone Number:*

Home Phone Number:

How did you hear about us?

Any additional comments / instructions:

You must read and agree to our Affiliate Program Agreement
I Agree


(Our privacy policy always applies.)