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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 Password must be between 6 and 30 characters, requires an uppercase letter and may only contain letters a-z and A-Z, numbers 0-9, the following symbols: . ! _ -

* Confirm password

* Email address

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* Country

* First Name

* Last Name

Company Name

* Date of Birth (YYYY-mm-dd)

* Country Dial Code

* Mobile Number

Referred By

Skype / AIM

* How will you market us?

Website
Offline
Email
Other

Target market(s) The market(s) you intend to promote to.

Total earnings from a previous affiliate programme

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

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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