Five Star Software Partner Application
Be sure to type in the correct name and address and all other information... this information will be used when sending your checks and giving you CREDIT for your marketing!
Contact Name:
Name (to be written on checks):
Your E-Mail:
Phone:
Desired username:
This is the referral code that you will use to identify yourself (e.g. fivestar); it will also be used to login to your member site:
Password:
This is used to login to your member site. NOTE: this is case sensitive
Address1:
Address2:
City:
State:
Select from the List
Outside US or Canada
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
North West Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code:
Country:
SPAM
Warning:
Check this box if you agree to NEVER use bulk e-mail in any way to promote this website.
Web Site Address:
How did you hear about us?
Add any special instructions or comments below.
Be sure to include any unique aspects of your web site.
Please review the above information carefully. Press the "Send Partner Application" button below. Your application will then be reviewed. We will send you notification when you are officially a partner with us!