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

Fields marked with * must be completed.

* Login username

* Login password

* Confirm password

* Email address

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* Country

* First Name

* Last Name

Address

City

Zip Code

Company Name

* Mobile Number

* Skype / AIM

Website URL

Date of birth

* Terms & Conditions Please read the Terms & Conditions before agreeing.

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Payment Instructions

* Choose a payment method

Jetbahis Player Account
Neteller
Papara
Crypto
Jeton
Bank Wire Transfer

Complete details for the selected payment method only.

Jetbahis Player Account payment instructions

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* Jetbahis Account Email

Neteller payment instructions

Please insert your Neteller account details

* Neteller Email Please enter your email

Papara payment instructions

Please enter your payment details

* Papara ID Please insert your account ID

* Name Surname Please enter your last name

Crypto payment instructions

Please enter your crypto wallet details. Types accepted BTC, ETH, USDT (USDT_TRC20, USDT_ERC20)

* Country

* Email Address

* Method of Payment

* Payee Surname

* Wallet Address

Jeton payment instructions

Please fill in your payment details

* Name Surname

* Jeton Wallet ID

Bank Wire Transfer payment instructions

Please enter your bank details

* Account Number Please insert your account

Bank City Please enter the bank city

Bank Country Please insert bank country

* IBAN Please enter your Iban

* Bank Name Please enter the bank names

Bank Other

* Bank Street Please enter the bank address

* BIC/ABA/SWIFT Code Please enter the bank swift code

* Bank Zip/Post Code Please enter the bank postcode

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