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Welcome to our affiliate program. Please complete the form below to signup.

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* Email address

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* First Name Your first name

* Last Name Your surname

* Date of Birth YYYY-MM-DD

Skype Your skype name

* Street Address Your street address

* City Your city

Company Your company name

Phone Your phone

Site Traffic Your site traffic

* Site URL Your Site URL

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Payment Instructions

* Choose a payment method

Bank Transfer
Crypto
Papara
Jeton Wallet

Complete details for the selected payment method only.

Bank Transfer payment details

Please insert all the necessary information

* IBAN/Account number

* Bank Name

* Beneficiary`s name

* SWIFT/BIC Bank

Crypto payment details

Please enter your crypto wallet details. Types accepted BTC, ETH and USDC ERC20

* Preferred currency Please enter any of the following methods: BTC, ETH and USDC ERC20

* Payee Name and Surname .

* Wallet Address

Papara payment details

Please enter your valid Papara details

* account number Please enter your account number

* Account holder name and surname Please enter your name and surname

Jeton Wallet payment details

Please enter valid Jeton wallet details.

* account number Please enter your account numbers

* affliate name Please enter your name and surname

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