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Complete the information below and click the 'Submit' button to set up a new affiliate account.
The affiliate code you choose should contain only alpha (letter) and numeric (number) characters.
If you wish the payments to be made payable to a business name, fill in 'Company Name' below
(leave 'Company Name' blank if you want the payments to be made out to your name).
Please note that affiliate payments are not made for personal purchases, they are only paid for purchases by people other than the affiliate.
* - Denotes a required field.
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