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Welcome to our affiliate program. Please complete the form below to signup.

Fields marked with * must be completed.

* Login username

* Login password

* Confirm password

* Email address

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* Country

* Currency Your currency cannot be changed once you've registered.

* First Name

* Last Name

* Registered name (company/individual)

* Mobile Number

* Skype

* Website

* How will you market us?

Website
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* Registered Company Number

* Address 1

Address 2

* ZIP

* Company Registration Country

* Terms And Conditions Please read the Terms & Conditions before agreeing.

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Payment Instructions

* Choose a payment method

Bank Transfer
PayPal

Complete details for the selected payment method only.

Bank Transfer payment instructions

Please fill in the details

* Full Name of Account Holder

* Bank Swift/BIC

* Bank IBAN

* Address of Account Holder

PayPal payment instructions

Please fill in the details

* Account Number

* PayPal Email Address

Invoicing Options

* Automatically generate payment invoices?

Automatically generate an invoice for each payment

* Tax name GST/VAT/TAX

* Tax rate A tax rate percentage between 0 and 100: %

Tax note The tax note will appear beside the tax amount on the generated invoice.

* Biller details Invoice header example: Affiliate Inc. 123 Example Street, Windsor, 13345. ABN: 123 456 789 0