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For additional information about Tier.net’s Webmaster Relationship programs, please complete the following: Your Name: Comapny Name: (if any) Address: City: State: Zip Code: Phone: Email: Fax: Website URL:     Please answer the following:   What is your current involvement in the Internet field:   Ad Agency Business Marketing or Management Consultant Freelance Website Designer Full-time Independent Website Designer and Hosting Provider Internet & Website Service Company Part-time Independent Website Designer and Hosting Provider Do you currently host client websites?   Yes No If yes, how many sites do you host?   1-3 4-10 11-20 21 or more Do you host sites on   your own server a third party or co-located server Do you provide business services from   home retail store front commercial offices How often do you visit Tier.net   almost every day once a week once a month less than once a month this is my first visit How often do you visit wbng.com   almost every day once a week once a month less than once a month this is my first visit Do you have any existing clients with (check all that apply)   ecommerce sites   secure servers   Windows NT operating system What do you use to access the Internet (check all that apply)   dial up   DSL or ISDN   cable   fractional T, T1, or T3 line   other What are your primary market areas or territories (check all that apply)   Greater Binghamton, New York   Ithaca, New York   Elmira. New York   Oneonta, New York   Syracuse, New York   New York City   Northeast Pennsylvania   Regional (Multi-State)   National (USA)   Other How do you typically acquire new clients (check all that apply)   referrals from other clients   advertising online   advertising in phone book   advertising on tv, radio, and/or news paper   direct mail or email   other Is your business a   Sole Proprietorship, Partnership, or In-Home Business Corporation or LLC Please check the Tier.net Webmaster Relationship level(s) you are interested in (check all that apply)   Tier.net Standard Affiliate Program   Tier.net Independent Reseller Program   Tier.net Partner Program