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Lavalife. Where singles click.


Before you submit your application, please review the Operating Agreement and our Privacy Statement , which describes the terms and conditions of your participation in the Lavalife® Associate Program. Once you have filled out the application form and reviewed the agreement and privacy statement, press the "Submit" button to submit your application.

Please note, this information is kept strictly confidential and is used for the sole purpose of administering the Associate Program.


Step 1

Who should we pay the commissions to?
	Make all checks payable to:

Step 2

Where should we mail the check?
Tell us the company name and address.
	Company Name (optional):
	First Name:
	Last Name:
	Email Address:
	Street Address:
	City:
	State or Province:
	Country:
	ZIP or Postal Code:	(spaces allowed)
	Phone Number:

Step 3

Who should we correspond with?
Who should we address all correspondence about the Associate Program to?
	Use the same information as in Step 2.
	Company Name (optional):
	First Name:
	Last Name:
	Email Address:
	Street Address:
	City:
	State or Province:
	Country:
	ZIP or Postal Code:	(spaces allowed)
	Phone Number:

Step 4

Tell us a little about your web site...
This information will be used to link back to your site.
	Name of your Web Site:
	URL of your Web Site:
	A brief description of your Web Site:

Step 5

Choose your password
	Please enter a password for your new account:
	Now, please enter the password again, so we can be sure we've recorded it right:

Step 6

How did you find us?
	First, please tell us: How did you hear about the Lavalife® Associate Program?

Success Stories

Operating Agreement

Privacy Statement

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