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<li>The site must be live, functional, and regularly updated</li> <li>The site and audience must be relevant to our <a href="http://www.tradepub.com" target="_blank">B2B offers</a></li> <li>The site cannot feature adult content</li> <li>Read all RevResponse <a href="https://portal.netline.com/revresp000h/" target="_blank">Terms and Conditions</a></li></ul> </div> </td> </tr> </tbody></table> <p> New Publisher Application (all fields required) </p> <p class="bluesub">Your Account</p> <table class="FormTable"> <tr valign="top"> <td> <div class="editor-label"> <label for="First">First Name</label> </div> </td> <td> <div class="editor-field"> <input name="first" value="" id="first" type="text" style="margin-bottom:10px;" /> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="Last">Last Name</label> </div> </td> <td> <div class="editor-field"> <input name="last" value="" id="last" type="text" style="margin-bottom:10px;" /> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="Email">Email address</label> </div> </td> <td> <div class="editor-field"> <input name="username" value="" id="username" type="text"/> <span class="field-validation-valid" data-valmsg-for="Email" data-valmsg-replace="true"></span> <br> <span class="Explain"> (The Email Address will be used as your username)</span> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="URL">Website URL</label> </div> </td> <td> <div class="editor-field"> <input name="URL" value="" id="url" type="text" /> <span class="field-validation-valid" data-valmsg-for="URL" data-valmsg-replace="true"></span> <br> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="Phone">Phone</label> </div> </td> <td> <div class="editor-field"> <input name="phone" value="" id="phone" type="phone" /> <span class="field-validation-valid" data-valmsg-for="Phone" data-valmsg-replace="true"></span> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="Address1">Address1</label> </div> </td> <td> <div class="editor-field"> <input name="address1" value="" id="address1" type="address1" /> <span class="field-validation-valid" data-valmsg-for="address1" data-valmsg-replace="true"></span> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="Address2">Address2</label> </div> </td> <td> <div class="editor-field"> <input name="address2" value="" id="address2" type="address2" /> <span class="field-validation-valid" data-valmsg-for="address2" data-valmsg-replace="true"></span> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="City">City</label> </div> </td> <td> <div class="editor-field"> <input name="city" value="" id="city" type="City" /> <span class="field-validation-valid" data-valmsg-for="city" data-valmsg-replace="true"></span> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="State">State</label> </div> </td> <td> <div class="editor-field"> <SELECT NAME="state"> <OPTION VALUE=""> Select State/Province <OPTION VALUE="AL" > Alabama <OPTION VALUE="AK" > Alaska <OPTION VALUE="AZ" > Arizona <OPTION VALUE="AR" > Arkansas <OPTION VALUE="CA" > California <OPTION VALUE="CO" > Colorado <OPTION VALUE="CT" > Connecticut <OPTION VALUE="DE" > Delaware <OPTION VALUE="DC" > District of Columbia <OPTION VALUE="FL" > Florida <OPTION VALUE="GA" > Georgia <OPTION VALUE="HI" > Hawaii <OPTION VALUE="ID" > Idaho <OPTION VALUE="IL" > Illinois <OPTION VALUE="IN" > Indiana <OPTION VALUE="IA" > Iowa <OPTION VALUE="KS" > Kansas <OPTION VALUE="KY" > Kentucky <OPTION VALUE="LA" > Louisiana <OPTION VALUE="ME" > Maine <OPTION VALUE="MD" > Maryland <OPTION VALUE="MA" > Massachusetts <OPTION VALUE="MI" > Michigan <OPTION VALUE="MN" > Minnesota <OPTION VALUE="MS" > Mississippi <OPTION VALUE="MO" > Missouri <OPTION VALUE="MT" > Montana <OPTION VALUE="NE" > Nebraska <OPTION VALUE="NV" > Nevada <OPTION VALUE="NH" > New Hampshire <OPTION VALUE="NJ" > New Jersey <OPTION VALUE="NM" > New Mexico <OPTION VALUE="NY" > New York <OPTION VALUE="NC" > North Carolina <OPTION VALUE="ND" > North Dakota <OPTION VALUE="OH" > Ohio <OPTION VALUE="OK" > Oklahoma <OPTION VALUE="OR" > Oregon <OPTION VALUE="PA" > Pennsylvania <OPTION VALUE="RI" > Rhode Island <OPTION VALUE="SC" > South Carolina <OPTION VALUE="SD" > South Dakota <OPTION VALUE="TN" > Tennessee <OPTION VALUE="TX" > Texas <OPTION VALUE="UT" > Utah <OPTION VALUE="VT" > Vermont <OPTION VALUE="VA" > Virginia <OPTION VALUE="WA" > Washington <OPTION VALUE="WV" > West Virginia <OPTION VALUE="WI" > Wisconsin <OPTION VALUE="WY" > Wyoming <OPTION VALUE="AS" > American Samoa <OPTION VALUE="GU" > Guam <OPTION VALUE="PR" > Puerto Rico <OPTION VALUE="UM" > United States Minor Outlying Islands <OPTION VALUE="VI" > Virgin Islands, U.S. <OPTION VALUE="MP" > Northern Mariana Islands <OPTION VALUE="">   <OPTION VALUE="AB" > Alberta <OPTION VALUE="BC" > British Columbia <OPTION VALUE="MB" > Manitoba <OPTION VALUE="NB" > New Brunswick <OPTION VALUE="NL" > Newfoundland and Labrador <OPTION VALUE="NT" > Northwest Territories <OPTION VALUE="NS" > Nova Scotia <OPTION VALUE="NU" > Nunavut <OPTION VALUE="ON" > Ontario <OPTION VALUE="PE" > Prince Edward Island <OPTION VALUE="QC" > Quebec <OPTION VALUE="SK" > Saskatchewan <OPTION VALUE="YT" > Yukon Territory <OPTION VALUE=""> Other </SELECT> </div> </td> </tr> <tr valign="top"> <td> <div class="editor-label"> <label for="Zip">Zip</label> </div> </td> <td> <div class="editor-field"> <input name="zip" value="" id="zip" type="Zip" /> <span class="field-validation-valid" data-valmsg-for="zip" data-valmsg-replace="true"></span> </div> </td> </tr <tr valign="top"> <td> <div class="editor-label"> <label for="Country">Country</label> </div> </td> <td> <div class="editor-field"> <SELECT NAME="Country"> <OPTION VALUE=""> Select Country <OPTION VALUE="US" > United States <OPTION VALUE="CA" > Canada <OPTION VALUE=""> <OPTION VALUE="AF" > Afghanistan <OPTION VALUE="AX" > Aland Islands <OPTION VALUE="AL" > Albania <OPTION VALUE="DZ" > Algeria <OPTION VALUE="AS" > American Samoa <OPTION VALUE="AD" > Andorra <OPTION VALUE="AO" > Angola <OPTION VALUE="AI" > Anguilla <OPTION VALUE="AQ" > Antarctica <OPTION VALUE="AG" > Antigua and Barbuda <OPTION VALUE="AR" > Argentina <OPTION VALUE="AM" > Armenia <OPTION VALUE="AW" > Aruba <OPTION VALUE="AU" > Australia <OPTION VALUE="AT" > Austria <OPTION VALUE="AZ" > Azerbaijan <OPTION VALUE="BS" > Bahamas <OPTION VALUE="BH" > Bahrain <OPTION VALUE="BD" > Bangladesh <OPTION VALUE="BB" > Barbados <OPTION VALUE="BY" > Belarus <OPTION VALUE="BE" > Belgium <OPTION VALUE="BZ" > Belize <OPTION VALUE="BJ" > Benin <OPTION VALUE="BM" > Bermuda <OPTION VALUE="BT" > Bhutan <OPTION VALUE="BO" > Bolivia <OPTION VALUE="BA" > Bosnia and Herzegovina <OPTION VALUE="BW" > Botswana <OPTION VALUE="BV" > Bouvet Island <OPTION VALUE="BR" > Brazil <OPTION VALUE="IO" > British Indian Ocean Territory <OPTION VALUE="BN" > Brunei Darussalam <OPTION VALUE="BG" > Bulgaria <OPTION VALUE="BF" > Burkina Faso <OPTION VALUE="BI" > Burundi <OPTION VALUE="KH" > Cambodia <OPTION VALUE="CM" > Cameroon <OPTION VALUE="CV" > Cape Verde <OPTION VALUE="KY" > Cayman Islands <OPTION VALUE="CF" > Central African Republic <OPTION VALUE="TD" > Chad <OPTION VALUE="CL" > Chile <OPTION VALUE="CN" > China <OPTION VALUE="CX" > Christmas Island <OPTION VALUE="CC" > Cocos (Keeling) Islands <OPTION VALUE="CO" > Colombia <OPTION VALUE="KM" > Comoros <OPTION VALUE="CG" > Congo <OPTION VALUE="CD" > Congo, The Democratic Republic <OPTION VALUE="CK" > Cook Islands <OPTION VALUE="CR" > Costa Rica <OPTION VALUE="CI" > Cote D'Ivoire <OPTION VALUE="HR" > Croatia <OPTION VALUE="CU" > Cuba <OPTION VALUE="CY" > Cyprus <OPTION VALUE="CZ" > Czech Republic <OPTION VALUE="DK" > Denmark <OPTION VALUE="DJ" > Djibouti <OPTION VALUE="DM" > Dominica <OPTION VALUE="DO" > Dominican Republic <OPTION VALUE="EC" > Ecuador <OPTION VALUE="EG" > Egypt <OPTION VALUE="SV" > El Salvador <OPTION VALUE="GQ" > Equatorial Guinea <OPTION VALUE="ER" > Eritrea <OPTION VALUE="EE" > Estonia <OPTION VALUE="ET" > Ethiopia <OPTION VALUE="FK" > Falkland Islands (Malvinas) <OPTION VALUE="FO" > Faroe Islands <OPTION VALUE="FJ" > Fiji <OPTION VALUE="FI" > Finland <OPTION VALUE="FR" > France <OPTION VALUE="GF" > French Guiana <OPTION VALUE="PF" > French Polynesia <OPTION VALUE="TF" > French Southern Territories <OPTION VALUE="GA" > Gabon <OPTION VALUE="GM" > Gambia <OPTION VALUE="GE" > Georgia <OPTION VALUE="DE" > Germany <OPTION VALUE="GH" > Ghana <OPTION VALUE="GI" > Gibraltar <OPTION VALUE="GR" > Greece <OPTION VALUE="GL" > Greenland <OPTION VALUE="GD" > Grenada <OPTION VALUE="GP" > Guadeloupe <OPTION VALUE="GU" > Guam <OPTION VALUE="GT" > Guatemala <OPTION VALUE="GG" > Guernsey <OPTION VALUE="GN" > Guinea <OPTION VALUE="GW" > Guinea-Bissau <OPTION VALUE="GY" > Guyana <OPTION VALUE="HT" > Haiti <OPTION VALUE="HM" > Heard Island & McDonald Islands <OPTION VALUE="VA" > Holy See (Vatican City State) <OPTION VALUE="HN" > Honduras <OPTION VALUE="HK" > Hong Kong <OPTION VALUE="HU" > Hungary <OPTION VALUE="IS" > Iceland <OPTION VALUE="IN" > India <OPTION VALUE="ID" > Indonesia <OPTION VALUE="IR" > Iran, Islamic Republic of <OPTION VALUE="IQ" > Iraq <OPTION VALUE="IE" > Ireland <OPTION VALUE="IM" > Isle of Man <OPTION VALUE="IL" > Israel <OPTION VALUE="IT" > Italy <OPTION VALUE="JM" > Jamaica <OPTION VALUE="JP" > Japan <OPTION VALUE="JE" > Jersey <OPTION VALUE="JO" > Jordan <OPTION VALUE="KZ" > Kazakhstan <OPTION VALUE="KE" > Kenya <OPTION VALUE="KI" > Kiribati <OPTION VALUE="KP" > Korea, North <OPTION VALUE="KR" > Korea, South <OPTION VALUE="KW" > Kuwait <OPTION VALUE="KG" > Kyrgyzstan <OPTION VALUE="LA" > Lao Peoples Demo Republic <OPTION VALUE="LV" > Latvia <OPTION VALUE="LB" > Lebanon <OPTION VALUE="LS" > Lesotho <OPTION VALUE="LR" > Liberia <OPTION VALUE="LY" > Libyan Arab Jamahiriya <OPTION VALUE="LI" > Liechtenstein <OPTION VALUE="LT" > Lithuania <OPTION VALUE="LU" > Luxembourg <OPTION VALUE="MO" > Macao <OPTION VALUE="MK" > Macedonia <OPTION VALUE="MG" > Madagascar <OPTION VALUE="MW" > Malawi <OPTION VALUE="MY" > Malaysia <OPTION VALUE="MV" > Maldives <OPTION VALUE="ML" > Mali <OPTION VALUE="MT" > Malta <OPTION VALUE="MH" > Marshall Islands <OPTION VALUE="MQ" > Martinique <OPTION VALUE="MR" > Mauritania <OPTION VALUE="MU" > Mauritius <OPTION VALUE="YT" > Mayotte <OPTION VALUE="MX" > Mexico <OPTION VALUE="FM" > Micronesia <OPTION VALUE="MD" > Moldova, Republic of <OPTION VALUE="MC" > Monaco <OPTION VALUE="MN" > Mongolia <OPTION VALUE="ME" > Montenegro <OPTION VALUE="MS" > Montserrat <OPTION VALUE="MA" > Morocco <OPTION VALUE="MZ" > Mozambique <OPTION VALUE="MM" > Myanmar <OPTION VALUE="NA" > Namibia <OPTION VALUE="NR" > Nauru <OPTION VALUE="NP" > Nepal <OPTION VALUE="AN" > Netherlands Antilles <OPTION VALUE="NL" > Netherlands <OPTION VALUE="NC" > New Caledonia <OPTION VALUE="NZ" > New Zealand <OPTION VALUE="NI" > Nicaragua <OPTION VALUE="NE" > Niger <OPTION VALUE="NG" > Nigeria <OPTION VALUE="NU" > Niue <OPTION VALUE="NF" > Norfolk Island <OPTION VALUE="MP" > Northern Mariana Islands <OPTION VALUE="NO" > Norway <OPTION VALUE="OM" > Oman <OPTION VALUE="PK" > Pakistan <OPTION VALUE="PW" > Palau <OPTION VALUE="PS" > Palestinian Territory, Occupy <OPTION VALUE="PA" > Panama <OPTION VALUE="PG" > Papua New Guinea <OPTION VALUE="PY" > Paraguay <OPTION VALUE="PE" > Peru <OPTION VALUE="PH" > Philippines <OPTION VALUE="PN" > Pitcairn <OPTION VALUE="PL" > Poland <OPTION VALUE="PT" > Portugal <OPTION VALUE="PR" > Puerto Rico <OPTION VALUE="QA" > Qatar <OPTION VALUE="RE" > Reunion <OPTION VALUE="RO" > Romania <OPTION VALUE="RU" > Russian Federation <OPTION VALUE="RW" > Rwanda <OPTION VALUE="SH" > Saint Helena <OPTION VALUE="KN" > Saint Kitts & Nevis <OPTION VALUE="LC" > Saint Lucia <OPTION VALUE="MF" > Saint Martin <OPTION VALUE="PM" > Saint Pierre and Miquelon <OPTION VALUE="VC" > St Vincent and the Grenadines <OPTION VALUE="WS" > Samoa <OPTION VALUE="SM" > San Marino <OPTION VALUE="ST" > Sao Tome and Principe <OPTION VALUE="SA" > Saudi Arabia <OPTION VALUE="SN" > Senegal <OPTION VALUE="CS" > Serbia and Montenegro <OPTION VALUE="RS" > Serbia <OPTION VALUE="SC" > Seychelles <OPTION VALUE="SL" > Sierra Leone <OPTION VALUE="SG" > Singapore <OPTION VALUE="SK" > Slovakia <OPTION VALUE="SI" > Slovenia <OPTION VALUE="SB" > Solomon Islands <OPTION VALUE="SO" > Somalia <OPTION VALUE="ZA" > South Africa <OPTION VALUE="GS" > S Georgia & S Sandwich Island <OPTION VALUE="ES" > Spain <OPTION VALUE="LK" > Sri Lanka <OPTION VALUE="SD" > Sudan <OPTION VALUE="SR" > Suriname <OPTION VALUE="SJ" > Svalbard and Jan Mayen <OPTION VALUE="SZ" > Swaziland <OPTION VALUE="SE" > Sweden <OPTION VALUE="CH" > Switzerland <OPTION VALUE="SY" > Syrian Arab Republic <OPTION VALUE="TW" > Taiwan <OPTION VALUE="TJ" > Tajikistan <OPTION VALUE="TZ" > Tanzania, United Republic of <OPTION VALUE="TH" > Thailand <OPTION VALUE="TL" > Timor-Leste <OPTION VALUE="TG" > Togo <OPTION VALUE="TK" > Tokelau <OPTION VALUE="TO" > Tonga <OPTION VALUE="TT" > Trinidad and Tobago <OPTION VALUE="TN" > Tunisia <OPTION VALUE="TR" > Turkey <OPTION VALUE="TM" > Turkmenistan <OPTION VALUE="TC" > Turks and Caicos Islands <OPTION VALUE="TV" > Tuvalu <OPTION VALUE="UG" > Uganda <OPTION VALUE="UA" > Ukraine <OPTION VALUE="AE" > United Arab Emirates <OPTION VALUE="UK" > United Kingdom <OPTION VALUE="UM" > US Minor Outlying Islands <OPTION VALUE="UY" > Uruguay <OPTION VALUE="UZ" > Uzbekistan <OPTION VALUE="VU" > Vanuatu <OPTION VALUE="VE" > Venezuela <OPTION VALUE="VN" > Viet Nam <OPTION VALUE="VG" > Virgin Islands, British <OPTION VALUE="VI" > Virgin Islands, U.S. <OPTION VALUE="WF" > Wallis and Futuna <OPTION VALUE="EH" > Western Sahara <OPTION VALUE="YE" > Yemen <OPTION VALUE="ZM" > Zambia <OPTION VALUE="ZW" > Zimbabwe </SELECT> </div> </td> </tr> <tr> <td colspan="2">   </td> </tr> <tr> <td 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