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Before finalizing and submitting your application, please review our Operating Agreement, which describes the terms and conditions of your participation in the VDT's Commission Program. Once you have filled out this form and reviewed the agreement, press the Enroll button to submit your application or the "Reset" button to start over.
  
 
    Payee Information    
    Please fill out the name and address of the person or company to whom we should send activity reports and make checks payable. Please note that we can only accept one payee name.    
 
    Payee's First Name :      
    Payee's Last Name :      
    Address 1 :      
    Address 2:    
    City :      
    State :    
    Country :    
    Zip/Postal Code :        
    Phone Number :        
    Payee's Email :        
         
    Contact Information    
    Please fill out the name and address of the person in charge of administering your web site. This is the person to whom we will address all technical correspondence about your participation in the VDT's Commission Program.    
         
    Contact's First Name :      
    Contact's Last Name :      
    Company Name :      
    Address 1 :      
    Address 2 :    
    City :      
    State :    
    Country :    
    Zip/Postal Code :        
    Phone Number :        
    Contact's Email :        
         
    Password Information
    
    Please provide a userid(6 or more characters) and password (6 or more characters). This is required to ensure authorized contact with us.    
         
    Username :      
    Password :      
    Confirm Password :        
         
    Your Website Description    
    Please provide the following information regarding your Web Site.    
         
    Website Name :      
    URL (include http) :      
    Audience / Description :      
   

 

    
         
    By pressing the Enroll button, you indicate that you want to apply to participate in the VDT's Commission Program, that you have reviewed the Operating Agreement and understand its contents, and that, if VDT accepts this application, you agree to be bound by the terms and conditions of the operating agreement.    
         
         
         
   
All information submitted on this application will remain confidential. Please apply only once, make sure your site is live and your content is viewable. Turn off restricted areas.