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myGeek.com Site Integration Form

Company Information:
Company Name:
Physical Address:
City:
State:
Zip Code:
Country:
State of Corporation:
Web Address (URL):
Main Telephone #:
Main Fax #:

Technical Contact:
Name:
Phone:	Ext.
E-mail:

Business Contact:	Same as Technical Contact
Name:
Phone:	Ext.
E-mail:

Additional Information:
Note: Every field must be completed for consideration
Number of Unique Users Website receives per month:
Number of User search queries per month, if any:
Percentage of Website user sessions originating from the
U.S.:	%
International:	%

Do you display listings ANYWHERE on your site prior to a user clicking on a category or typing in a search string?: Yes No
If yes, provide examples:


Do you have any active automated fraud screening procedures? Yes No
If yes, please describe:


Do you have any active manual fraud screening procedures? Yes No
If yes, please describe:


Can you accept and parse an XML feed? Yes No

Source of Website Traffic:
**Note: The goal of this section is for us to better understand where your traffic comes from. Please do the best you can on the percentage amounts so that the total will reflect 100% at the bottom. Understanding your traffic sources is the key to building a good partnership.

Direct Traffic:	%
(please explain below why a user would come directly to your site for a search vs. Google)

Affiliate Traffic:	%
Domain Harvesting/Typos/Redirection:	%
Toolbar Traffic: (please provide a link to your toolbar below)	%
http://
404 Error Pages/ No Data (please provide a link to a sample page below)	%
http://
Popups/ Popunders: (please provide a link to a sample page below)	%
http://
Traffic Hijacking: (please provide example below)	%
http://
Other: (please provide as much data as possible below)	%


Thank you for taking the time to complete the Site Integration Form from myGeek.com.

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