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:
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!