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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

* First Name

* Last Name

* Phone Number

* Street Address

* City

* State

* Postcode

Company Name

Skype/AIM

Website URL/s

* How will you market us?

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

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Affiliate Wallet payment instructions

Fill in your affiliate username

Wallet ID Reinsert your affiliate username chosen above, as wallet ID will be generated by the system latter

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