904 Thomas Drive, Jackson, Michigan 49203 Phone: 517-841-6497 Fax: 517-841-6498 email: sue@amsaffiliates.com

MAIL OR FAX US YOUR AFFILIATE APPLICATION FORM

Print out the following application and either:

1) Fax it to (517) 841-6498

2) Snail mail it to: AMS Developers, Inc., 904 Thomas Dr. Jackson, Michigan, 49203

Administrator Information

Password

_________________________________________________________________

Password reminder question

_________________________________________________________________

Password reminder answer

_________________________________________________________________

Website URL:

_________________________________________________________________

Website Title:

_________________________________________________________________

Website Description:

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Issue Checks to

First Name

_________________________________________________________________

Last Name

_________________________________________________________________

Email Address

_________________________________________________________________

Tax Number or SS#

_________________________________________________________________

Company: ____________________________________________________________________________________

Mailing Address: ________________________________________________________________________________

________________________________________________________________________________

City: _________________________________________________________________________________________

State or Province: _______________________________________________________________________________

Zip or Postal Code: ______________________________________________________________________________

Country: _______________________________________________________________________________________

Phone: _______________________________________________________________________________________

Fax: _________________________________________________________________________________________

Please review the Operating Agreement which describes the terms and conditions of your participation in the Associates Program. If your application to participate in the AMS Developers, Inc. Associates Program is accepted, you hereby agree to be bound by the terms and conditions of the operating agreement which you hereby state to have read and understood.

It is against your associates agreement to advertise EZintranets.com, a division of AMS Developers, Inc., via unsolicited email. Some people think that associate's "spam" email originated from us, damaging our reputation and causing us administrative problems. DO NOT send unsolicited email to promote EZintranets.com, or you will be in violation of your associate's operating agreement and your account will be terminateed, forfeiting all outstanding referral fees. Your cooperation and understanding is appreciated.

Signature: ________________________________________________________

Date: __________________________________________________________

You will be contacted via email with your special assigned URL and easy instructions on how to get everything set up immediately.

If you experience any problems, please email sue@amsaffiliates.com