New Affiliate Registration

Fields marked with a "√" are required.

Personal Information
First Name:	√
Last Name:	√
Company:
SSN/Tax ID#:	This information can be added later. It will be required for tax purposes.
Mailing Address
Address:	√ Mailing address where checks will be mailed
City:	√
State:	√
Country:	√
Zip Code:	√
Contact Information
Phone:	√ Example: 333-555-555
Email: We value your privacy	√ We use e-mail for communication purposes only. We do not share or sell any information to third parties.
Fax:
Website:	Example: www.findlegalforms.com
Username and Password
	Your password must be different from your username. We recommend using passwords of 5 or more characters.
Username:	√
Password:	√
Confirm Password:	√
Terms and Conditions
	By submitting your application for the Affiliate Program, you agree to the Affiliate Terms and Conditions.
	I agree √
	* Not case-sensitive

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