ClubJobs.net Affiliate Program

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AFFILIATE APPLICATION

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*	I am at least 18 years of age.

Username

Choose name between
6-12 characters

Site Information

Title of your Web site

Web site URL

Describe your Web site

Contact Information

First and Last Name

Title/Function in Organization

Phone

E-mail (Valid email REQUIRED for registration confirmation and for login)

Verify E-mail

Company Information

Organization Name
(Your name if none)

Street

Street 2

City

State

ZIP Code

Organization Phone

Organization Fax

Tax ID (SSN/EIN)
Required for U.S. publishers

Tax Classification

Payment Information

Payments are in US Dollars. You can receive your commission payments via PayPal or Check.

Note: One of the following payment types is required

Payment By PayPal:

Email Address

Payment by Check

Payee Name


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