Affiliate Program

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Payday Loan Affiliate Program

Complete all pages of the Affiliate Registration Form. You will be notified by email if you are accepted into the FinancialAffiliateMarketing.com affiliate program.

Step 1 of 4. Enter your personal data.

You must be a U.S. citizen residing in the United States.

Agent information	* marked fields are required
Company Name or Your Name*
List ALL your URLs (without http://) * URLs cannot be under construction Separate each URL with a comma and no spaces.
Number of monthly visitors *	(minimum 250 visitors per month)
Login (8-20 chars long) *
Application Password (8-20 chars long) * This will not be your Login password. We will create a password if approved.
Re-Enter Application Password *
First name *
Middle name
Last name *
Address line 1 (cannot be a P.O. Box) *
Address line 2
City *
State (if USA) *
Zip / Postal code *
Country *
Your Valid Phone Number * So we can call to verify your residency.
Fax number
Your Email Address (Must be either from your domain, Or can be any email listed on your main site page) This is to verify your site ownership.
Notify me with updates by mail
My email software supports HTML
How did you find out about FinancialAffiliateMarketing.com?
Other
Please explain any application forms you may have on your site. Also tell us if your site offers incentives/rewards to visitors: