| Affiliate Registration |
Were you referred by an existing affiliate?
Enter their Affiliate ID, otherwise enter 0:
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Username may be 2-32 letters/digits/underscores and must start with a letter. |
| Username: |
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| Email: |
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| Password: |
(2-16 letters/digits/underscores) |
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| Contact Information |
| Your Name: |
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| Company: |
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| Country: |
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| Street: |
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| City: |
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| State: |
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| Postal Code: |
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| Phone: |
(000-000-0000) |
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| Payout Information |
| Social Security # or FEIN: |
(US Only) |
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| Payment Method: |
PayPal
E-mail:
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Check payable to:
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There is a $25 disbursement fee for generating + mailing a check. PayPal payment is free.
Checks are in US Dollars and are generated when total due exceeds $250 or upon request.
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I have read and agree to the Affiliate Agreement and I am at least 18 years of age. |
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