Standard Affiliation Form

Please ensure you have read the Service Agreement carefully before you continue

Australian Businesses should have their A.B.N handy before completing this form.
Before completing your preferred Affiliate Code or Name you should also check out our Naming Rules

Business / Affiliate Details:		Payment Details
I agree to having read the Service Agreement as associated with this affiliation program		Name
Your Business Name * The identity we will be writing cheques to.		Email
Business ABN Number * Australian Business Only		Phone
I am Not GST registered * Australian Residents Only	(Check this box if you are NOT GST registered)	Address Line 1
GST Number		Address Line 2
The Site where you will use the affiliation link? * e.g www.yoursite.com		City
Address Line 1		State
Address Line 2		Postcode / Zip
City		Country
State		Pay Type
Postcode / Zip		Payout Threshold
Country
Your Email Address		Affiliate Contacts
Your Phone Number * Include Country and Area Codes		Name
Site Information:		Email
Your Preferred Affiliate Code or Name: *CLICK HERE to learn about our Naming Rules		Phone
Affiliate Type		Fax
Password(A)		URL
Password(B)

For Security reasons you need to type the code in the following image into the Text field below...

I certify that the above information is correct and that I have read and understand the Service Agreement.

Hit the Register button to submit your details. Once your details are confirmed you will be sent to a page containing relevant linking and banner information for the store you've chosen to link to...