Affiliate Registration Affiliate Registration Affiliate Registration Form How did you hear about us?*GoogleReferralWebsiteOtherWhich website did you hear about us from?*Who referred you?*Skype ID (Used for instant communication with Account Manager)*How will you promote us?*Your Website / Social Media URL*Skype ID (Used for instant communication with Account Manager)*Full Legal Name* First Last Account Email* Payment Email* Phone*Payment Method*INTERAC e-Transfer (Canadians Only)PayPalEnter Bitcoin ID:*Username*Password* Enter Password Confirm Password CAPTCHATerms and Conditions* I have read and agree to the Terms and Conditions for the Affiliate Partnership.
