Americas Hot Deals Retailer Creation Form

Complete our Retailer/Manufacturer enrollment form and click on the CREATE button located below the form to process your enrollment. Our Products/Services webpage will include your company website link as well as details about your company as soon as your completed enrollment form is submitted to AHDs Secured Server. On behalf of AHD and our Members, we thank you for taking time to register your company as our preferred Retailer/Manufacturer. AHD reserves the right to exclude any derogatory and/or sexually explicit sites from our products and services website. Disclaimer

*Company Name:

Website: (Add your website URL such as the example: http://yourdomain.com)

You must already have a website. We ask that you link our website to yours. In doing so we also ask that you give our site visitors a discount on any item(s) you choose. (If no website, then our site visitors will not be able to easily take advantage of your services) We can refer you to our designated web design company. Click here for more details.

Physical Address:

City: State:

Zip Code: *Retailer or *Manufacturer

Company Fax Number: () - - ext:

*Company Telephone #: () - - ext:

Email:

*Category: [Select 'Everything Else' if the category isn't specific to the Retailer/Manufacturers business]

Details: (Enter a brief description about your company and offerings)

Date:

*Your Name:

* I have read and agree to the AMERICASHOTDEALS.COM Terms & Conditions - Read our Terms and Conditions.

Any questions: Contact us by email: customercare@americashotdeals.com

* Required Fields

The information collected on this form will be used strictly by America's Hot Deals. We will not sell or distribute names or e-mail addresses to any third party. All information will be stored in our secure web server, which is password protected.