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Affiliate Information: |
| Account Type*: |
$25 Pay-Per-Signup
60% Revenue Sharing
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| Contact Name*: | |
| Company: | |
| Email*: | |
| Address*: | |
| City*: | |
| State*: | |
| ZipCode*: | |
| Country*: | |
If located in the US:
TaxID/SSN: |
Type only the numbers of the taxID/SSN.
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| Phone: | |
| ChatID(ICQ/AIM/etc)*: | |
| Username*: | |
| Password*: | |
| Confirm Password*: | |
Promotion Information: |
Name of your Website*:
(List name if mailer) | |
| List your site URLs*: | |
| How do you plan on promoting BaDoinkCash products*: | |
| How did you hear about BaDoinkCash: |
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Payment Information: |
| Payout Method*: |
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Payable To*:
(Wire/Check Information) | |
Secure Captcha: |
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| Check here to indicate that you have read and agree to the BaDoinkCash Affiliate Terms. |
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