AFFILIATED REGISTRATION FORM
|
| All fields marked with * are required |
| | |
Make click here to know important aspects on your Registration form as an Affiliate
When Filling the application, please keep in mind that:
- Every application will cover the country or group of countries that we agree on top of the ones of your interest
- Each application will have a login and a password defined by you . The login is an e mail where we will send you all the information and the password is establish by you. For confidentiality purposes, you will be able to change it when you find it convenient. The login and password will allow you to:
- Modify the information about your company or web, including your bank data where we must send your commissions.
- Know and export non-confidential information of the people activating the service ( Users activated through you ) to be used on your sales campaign and as a tool for your publicity segmentation in the application screens and reminders.
- Use the Content Management section on the control panel to define, modify or Delete the advertising text and art in the screens and reminders.
- Commission charges to your account: your commissions will be charged to your account if the subscriber selects (when making the purchase) "how you met us" that will appear as soon and the bank approves the transaction. Those that comes from our button in your web will be recognized by our system and the commission will be charge to your account when the bank approves the credit card transaction
- commissions delivery: your commissions will be sent through check or bank transference 15 days after the end of every month, if the total amount exceeds USD 200.
|
| | |
| We suggest you print REGISTRATION FORM AS AFFILIATE, so you can know and prepare the information that you need to fill there |
| | |
 |
| | |
| Please read the form first and carry out the process when you all the necessary information. |
| | |
| User (E mail) ** |
|
|
| | |
| User Confirmation (E-mail) ** |
|
|
| | |
| Password ** | |
|
| | |
| Password Confirmation ** | |
|
| | |
| Comission : * | % |
| | |
| Type of Affiliated * ( Depending the option you select , the system will show you different information to fill ) |
| |
| | |
| Different to the web: Channels: sale points, correspondence - product packing, bags of packing publicity in other means - their invoices - you trade - others) |
| | |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
In all registered webs you will give a part of your comission as follows : |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Company Data |
| |
| Firm name ** |
|
| | |
| Physical address * |
|
| | |
| Zip code |
|
| | |
| State or province * |
|
| | |
| City * |
|
| | |
| Country * |
|
| | |
| Phone number (country code-city code-phone number) |
|
| | |
| Mobile Number (country code-city code-phone number) |
|
| | |
| Fax (country code-city code-phone number) |
|
|
| Contact |
| | |
| Full Name ** |
|
| | |
| E-mail * |
|
| | |
| Current position * |
|
| | |
| City ** |
|
| | |
| Country ** |
|
| | |
| Phone number (country code-city code-phone number) |
|
| | |
| Mobile Number (country code-city code-phone number) |
|
| | |
| Fax (country code-city code-phone number) |
|
|
| Bank information to send the commissions (please include as much information as possible) |
| | |
| |
Physical address of the Company as it's registered in the Bank: |
|
|
| | |
|
|
| | |
|
|
|
| | |
|
|
| | |
|
|
| | |
|
|
| | |
|
|
| | |
| | |
| Intermediate bank for ( Correspondent bank ) : |
|
| | |
|
|
| | |
|
|
| | |
|
|
| |
|
| | |
|
