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COMPANY INFORMATION

Company Name
Web Site Address*
Contact Name
Phone
E-mail
State or Province

COMPANY OVERVIEW

What DoubleClick Performics services are you interested in?

Affiliate
Search
Natural Search
Digital Consulting Solutions

Do you currently have an Affiliate or Search Program?

Yes, Affiliate
Yes, Search
Yes, Both
Neither

To better determine program fit, please provide information about your annual online sales:

Less than 1 million
1-8 million
More than 8 million

What is your monthly Paid Search Spend?

Below 30k
Above 30k
Not Applicable

Does your Web site contain pornography, gambling or tobacco
products, or link to sites with this content? *

Yes
No


* DoubleClick Performics does not affiliate with Web sites that promote pornography, gambling or tobacco products.
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