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Affiliate Scout

AFFILIATE REGISTRATION FORM

Please, fill out all the files marked * it´s necessary for your registration.

* Address (fill the whole address please, including your name and country):
* Web URL:
* E-mail:
* Password:
* Phone:
Company name:
Paypal account:

* Bank Name:
* Bank Account:
* Bank Address (fill the whole address please, including country):

* SWIFT:	?
IBAN:	?
* I read and agree to the terms and conditions of affiliate program and by procedure of registering I accept them.

Your data will be saved into our system. Immediatelly we will send you via e-mail your login (URL, username, password) for our Affiliate system.
Note: We will activate your account just when we make a phone call to you and verify your data.

Your name:
Message:
Reply email:

400 friends now, go go go! After we reach 1000 friends, we will release 15% discout code! .)