Affiliate Edge


Fields marked with * are required.
Login Details
Username *
E-mail Address *
Password *
Confirm Password *
The password must meet the following criteria:
  • The password can not be the same as your username
  • The password must have a minimum length of 7 charachters
  • The password must be updated every 90 day
  • When changing the password, you can not use the same password used the last 4 times
  • The password must contain at least two of the following subset of characters; higher alpha, lower alpha, number, special characters.
Affiliate Details
Affiliate type
Date of birth  *
Web Site *
Contact Information
Contact Name *
Street Address *

Zip Code *
City *
E-mail Address *
Phone Number *
Instant Messenger
I have read and I agree to abide by the terms and conditions as specified in the Affiliate Program Agreement .
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