API form integration

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We need to integrate Cake’s API’s on our website.
We will have a login form (username/password) for registered users, and a signup form.
For the signup form I've attached a screenshot of our current form, but we would need to add 4 more fields to the form
- Site URL (input field)
- Target Market? (input field)
- Average Unique visitors per month? (either input field or dropdown)
- How will you be promoting our offers? (dropdown)

here are some helpful links so you can get a better idea of how the Cake Marketing API works:
Login Form - [url removed, login to view]
Signup Form - [url removed, login to view]

For the custom affiliate signup page, you are limited to what the API will support.

Please let me know your cost and turnaround time.

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