Adult and Lingerie Affiliate Programs from Tek Distribution

Level 1
Standard Affiliation

Lingerie.com.au
Standard Affiliation

Level 2
Affiliation with Logos

Level 3
Custom Store

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.

The Cost of this store set up is a one off $250AUD Fee. On completion of this form Someone will contact you directly in regards to Billing Details and setting up your store.

Business / Customer Details:
I agree to having read the Service Agreement as associated with this affiliation program
Your Name
Your Business Name * The identity we will be writing cheques to.
Business ABN Number * Australian Business Only
I am Not GST registered * Australian Residents Only	(Check this box if you are NOT GST registered)
If you are linking to the store from another site What is the URL of the site
Address Line 1
Address Line 2
City
State
Postcode / Zip
Country
Your Email Address
Your Phone Number * Include Country and Area Codes
Your Fax Number * Include Country and Area Codes
Help Us:
Please tell us how you heard about this site?
What Type of Store are you interested in setting up? NB: Adult holds all categories where Lingerie holds only Lingerie categories.

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

Select the Register button to submit your details. Once this form is submitted or posted we will process your order and notify you personally via Email about what to do next.