Publisher Signup Fill up the Publisher signup and get started with Publisher’s services with Krixity. User Details Account/Entity Type:* ---IndividualProprietorshipPartnershipLimited Company Company name: First Name* ---MrMsMrs First Name* Last Name* Email* Password* Confirm Password* Address 1* Address 2 Country* State* City* Zipcode* Phone* Mobile* IM Type ---AIMGoogle TalkSkype IM Username Traffic Details Promotion Method* WebsitePPCEmail_MarketingIncentMobileMedia Buying Website Type: ---Blog/Review/PortalAffiliate NetworkCoupon WebsiteCashback WebsiteComparison Website Website Url: Monthly Unique Visitors: ---Below 5000050,000-1,00,0001,00,000-5,00,0005,00,000-1 Million1 Million + PPC Info: GoogleBingFacebookOther Email Database Size: ---Below 5000050,000-1,00,0001,00,000-5,00,0005,00,000-1 Million1 Million + Email Database Type: ---Single OptionDouble OptionOther Briefly describe your Company/Website/Traffic Sources: Billing Details (You can also submit billing details later) Make Payment To: ---IndividualCompany Payment Method: ---PaypalBank TransferWire Transfer Paypal E-mail: Confirm Paypal E-mail: Beneficiary Name: Account Number: Bank Name: Routing / ABA / Swift: Beneficiary Name: Account Number: Bank Name: Account Type: ---SavingsCurrent IFSC/NEFT Code: Company PAN No.: Service Tax Number: Branch Details: Refer By: Choose your preferred mode of contact: EmailPhoneIM I have Read, Understood & Agree to all Publisher Terms & Conditions.
