--- Website Information
---
Website Name
*
Website URL
*
Tax ID#
Website Categories 網站性質(最多三個) Choose
up to 3 categories
Brief Description
of Website
Website Stats 每月流量
Monthly Unique Visitors
Less Than 500
500 - 5000
5000 - 50,000
50,000 - 500,000
Over 500,000
Monthly Page Views
Less Than 500
500 - 5000
5000 - 50,000
50,000 - 500,000
Over 500,000
*
Website Visitor Demographics Gender *
性別 Age * 年齡
Does your Website...
關於您的網站 需要登入某個系統 ? 提出獎賞 捐贈一份收入到某個組織?
Do you manage more than
one Website?
您是否管理一個以上的網站?
Tax Classification 稅金分類
Please Select
Corporation
Individual
LLC
LLP
Non-Profit
Other
Partnership
S-Corp
Sole Proprietorship
* sRequired for payment
purposes
--- Contact Information
---
First Name
*
Last Name
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E-mail Address
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Phone Number
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Mailing Address
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City, State, Zip City
* State
Please select 州
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RHODE ISLAND
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Isls.
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* If Other, please specify
Billing Name
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