WeCareToo Affiliate Application

Before completing and submitting this application, be sure you have read, understand and are willing to accept the terms of the WeCareToo Affiliate Program Agreement. By submitting this application, you are acknowledging that you are an authorized representative of a U.S. based not-for-profit organization and that you fully understand and accept the terms of the WeCareToo Affiliate Program Agreement.

Privacy:

All information you provide will be kept confidential. It will be used only for purposes of administering the WeCareToo Affiliate Program. We do not and will not make this information available to any outside party except as stated below regarding income reporting to the US Internal Revenue Service.

Payee Information:

All of the following information must be completed in order for us to know the name and address of the organization that is to receive commission checks and properly set up your affiliate section on the WeCareToo web site. Therefore, be sure to complete all sections. It is especially important that we have your mailing and email addresses.

Payee's Name -- The name that will appear on your referral fee check

Address Line 1: -- Use this line to indicate your organization's address or the name of a person to whose attention the payment should be directed.

Address Line 2: -- Street address if a name is inserted on the line above.

City, State and Zip

Country

Organization's Web Site Address (URL) -- insert N/A if you do not have one

Organization's Phone Number

Organization's Email Address


Contact Information:

In this section please enter the name and address of the person to whom we should direct all correspondence regarding the Affiliate Program:

Contact Name

Address Line 1

Address Line 2

Contact City, State and Zip

Phone Number

Contact Email Address


Tax Information:

The US Internal Revue Service requires that payments to an affiliate in excess of $600 per year be reported on a Form 1099. In order to complete that form, it is necessary that we have the correct Taxpayer Identification Number for the payee. Please provide the number in the space below:

Taxpayer Identification Number


Once you have filled in this form and are satisfied that it is complete, press the "Yes, I want to Participate" button below. By doing so, you are confirming that you have read and understand the Affiliate Agreement and wish to have your organization participate in the WeCareToo Affiliate Program. You are further acknowledging that, if you are accepted into the program, you and your organiztion agree to be bound by the terms and conditions of the Affiliate Agreement. Your application will be reviewed and an e-mail sent to you indicating whether or not you have been accepted into the program. If accepted, additional information will be provided to you as to beginning to use the program.

No, I Do Not Wish to Participate