Membership application WebNet Partnership

Advertising Department

	Please fill in all the fields below to create a valid application

	Join	New Partner Member
	Update	Change of Address
	Business Name
	Address
	Representative
	Phone
	Services offered
	Qualifications

	Salutation
	First Name
	Last Name
	L.G.S.P Verify	If you do not have L.G.S.P code Verify information please leave it blank.
	Home Phone
	Home Address
	City
	Zip / Postal Code
	E-Mail
	Choose User Name
	Choose Password
	Verify Password

Order	Membership	Fee
	Associate	$15,000 USD per annum
	Direct	$1,000 USD per annum direct Associate
	Temporary	$500 USD per 3 months temporary Associate (Temporary Associates will be re-evaluated every 3 months)

Order	Policy	Monthly Premium
	L.G.S.P #1	$100.00 USD Monthly Premium
	L.G.S.P #2	$300.00 USD Monthly Premium
	L.G.S.P #3

		You will be invoiced as your application is approved L.G.S.P. Gold Please contact us to discuss your individualized needs and customized application form.

FostersNet.com Marketing Services
Phone: 1-888-573-3339/1-212-537-4039
Email: Michael.Foster@FostersNet.com

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