Sign up: Publishers – Maverick Media

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1. ACCOUNT DETAILS

First Name*

Last Name*

Your Email*

IM Type*

IM Name*

Company Name*

Country*

City*

Street Address*

Zip/Postal Code*

Phone number*

2. PROMOTIONAL PREFERENCES

Specialization

Your company URL*

How did you hear about Maverick Media?*

Please name your top verticals*

Are there any specific offers or verticals you plan to launch with Maverick Media? *

What CPA networks do you currently work with?*

How much monthly revenue do you generate with other networks?*

What traffic types do you generally use for promotional purposes?*
NativeDisplayEmailIncentSearchSocialPop What are the top 3 countries you operate in?*

What country generates most of your revenue?*

Please, include any other information that Maverick Media should know about you or your company

Your LinkedIn / Facebook profile

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