ARS Re-Invented ARS 4 Real For Mature Audiences Only ARS C.H.A.M.P System Adult Dialer Solution.com Traffic Dude ARS Rewards
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WEBSITE INFORMATION
This site will be reviewed for acceptance into the ARS program. If no site exists, the application will be declined.
Website Name
Website URL

CONTACT INFORMATION
Important: You will be required to respond to an email to activate your account so you must use a valid email address.
Email Address
Contact Name
Telephone Number
ICQ Number
Checks Payable To
Address
City
State / Province
Zip Code
Country
Tax ID / SSN*
*Only required if located in US
Note: The Tax ID/S.S.# field must be formated as follows:
The numbers must contain dashes.
Tax ID: (xx-xxxxxxx)
S.S.#: (xxx-xx-xxxx)

FUNDS DISTRIBUTION
Note: Publishers may chose to have their checks sent overnight for a $15 fee. Wire transfer fees are $10 for US and $20 for international. A minimum payout of $500 (US) / $1000 (International) must be met for all wire transfers.
Minimum Payout   Amount may not exceed $10,000
Desired Payout  Standard Check
 Overnight Check
       (Fee: $15 US / $25 International)
 Wire Transfer  *Fields Below Req'd.
       (Fee: $10 US / $20 International)
 Direct Deposit (Click for Details)
 ePassporte (Click for Details)
Bank Name*
Bank Address*
Bank Routing / ABA / Swift*
Bank Acct. Number*
Beneficiary Name*
Beneficiary Address*

LOGIN INFORMATION
Note: Use alphanumeric and underscore (_) characters only. Limit: 10 characters.
Password
Verify Password

LEGAL INFORMATION
Date of Birth

PUBLISHER SERVICE AGREEMENT
I agree to the conditions outlined in the Terms of Service Agreement
Digital Signature
Enter your name in the box above to digitally "sign" the form.

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