New Affiliate Account

New Affiliate Account

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COMPANY INFORMATION

Enter your Company Name (or your name if an individual).
Affiliate Address*Affiliate mailing address

AFFILIATE USER DETAILS

Contact Name*Primary contact persons name
Email Address*Contact persons email address for communication and affiliate account setup. This email address must be unique.
This will be the username on our affiliate portal
Email we will use to pay out commission
PasswordIf no password is entered here, the affiliate will receive an email to create a password for their account.
Strength indicator
Min 8 characters and contain at least 1 digit and 1 symbol.

AFFILIATE AGREEMENT