Affiliate Advantage
Company Details
*
= required
Company ID:
Contact Details
Title:
*
Firstname:
*
Lastname:
*
Telephone:
Fax:
*
Email:
Company Details
Company Name:
Company Address:
Company No:
VAT No:
Website Details
*
Website address (URL):
(if more than one URL seperate by ";")
*
Description:
(max 100 chars)
Login Details
*
Username:
New Password:
New Password (Confirm):
Affiliate Payments
Payment:
£
£ per 1000 Clickthrus
£ per 1000 Impressions
£ per Sale
Percent
£ per Application
Your Company Details
Your Logo:
Company Information:
This information will be displayed
to potential affiliates
I agree to the
terms and conditions
. Please email us if you wish to change any of these terms - we are usually flexible
