StudentCity.com Affiliate Program Sign-up

Please provide your website/company information below:

Name of Website:
Administrative Contact:
Administrative Phone:
Administrative Email:
Technical Phone:
Technical Email:
City, State, Zip:
Type of Business/Content:
Average # of visitors/month:
What type of affiliation are you interested in? (May be more than one)	Link to our site/booking engine using a unique ID and/or cookie technology. Collect leads on your website using our form (within your header), thus enabling our student travel professionals to follow-up with each lead "Frame in" our booking engine within your header to enable users to book their trip on your site Recruit "Campus Reps" that will ultimately organize their own trips on campus, giving you an override on every trip they sell
Do you wish to use a StudentCity banner on your site? If so, which size(s)?	Yes No, prefer to use text or make your own banner/graphic
Please provide any questions or comments you have regarding our Affiliate Program:
Have you read, understand, and agree to the StudentCity Affiliate Agreement?	Yes No

Please choose a User Name and Password to login to the StudentCity Affiliate Resource Center: