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 Become an Affiliate
Contact Information
How we will get in touch with you. All fields are required. Your email address will be your username to access your reports.
Name
Phone Number
Email Address
AIM/ICQ/Messenger ID
Preferred contact method
(check all that apply)
 Phone  Email  IM  

Referral Source
How did you find our affiliate program?
Details:
(The more details you provide about your referral source,
the faster and more likely we are to approve your application)

Pick a password
Pick a password. This password, along with the email address you entered above,
will be how you will logon to our affiliate portal system. This is required.
Password

Your Websites
Enter up to six websites where you will place links to us. At least one is required.
Website Address/Domain
Website Address/Domain
Website Address/Domain
Website Address/Domain
Website Address/Domain
Website Address/Domain

Payee Information
Who affiliate payment checks should be made out to. All fields are required.
Name
Street Address 1
Street Address 2
City
State
Zipcode
Country

Payee Tax ID
This is required if you are in the US and you wish to receive payment.
In the US:
  • if you are an individual, the tax ID is your social security number;
  • if you are a company, the tax ID is your EIN (employer identification number).
    If you are outside the US, we do not require this information.
Tax ID

Affiliate Agreement
You must read and agree to the affilate agreement in order to become an affiliate.
I have read and understand the Affiliate Agreement

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