Ready to join Lootzi on a mission to simplify cash back shopping? With easy-to-find retail offers and coupons, Lootzi is the simple way to shop online and get cash back.

At Lootzi, we're working hard to build relationships with our advertisers, fellow publishers, and providers. We believe strong partnerships lead to happy consumers. Hundreds of online retailers are embracing the benefits of offering cash back to the growing segment of consumers looking to make the most of their online spending.

If you're an online merchant with an affiliate program and you're interested in forging a relationship with Lootzi and Lootzi shoppers, please provide us with the following information. A Lootzi team member will provide a response once your information has been reviewed.

Merchant Name*
Contact Name*
Street Address*
Street Address Line 2
City*
State*	Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New hampshire New jersey New mexico New york North carolina North dakota Ohio Oklahoma Oregon Pennsylvania Rhode island South carolina South dakota Tennessee Texas Utah Vermont Virginia Washington West virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico Virgin Islands Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Islands Quebec Saskatchewan Yukon
Zip Code*
Contact Email*
Phone Number*	- -
Site Name*
Site URL*
How long has this website been active? (years)*
Are you part of a parent company that has other merchants on Lootzi?*	Yes No
Are there any merchants on Lootzi similar to you?*	Yes No
Please list similar merchants*
Do you have an affiliate program?*	Yes No
Are you working with an established Affiliate Program Provider? (ex.Commission Junction, Linkshare, Google Affiliate Network, or ShareASale)*	Yes No
Affiliate Program Provider*
What are your program terms?
What compelling and remarkable offers can you present to our online community?*
What can Lootzi do for you?*