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Affiliate Registration Form
Site Information
 
Web site or newsletter name *
Website URL
(Not required for newsletters) 		*
Describe your Web site
Category
(Main topic of your web site)		 *
Define your promotional methods if any Website/Content
Search Engine Marketing
Email Marketing
Advertising
Does your Website offer incentives to visitors?
Yes No *
Description of your incentive/special program
 
Contact Information
 
First Name *
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) 		*
Address *
City or Town *
State, Province
Postal Code *
Country *
Organization Phone *
Organization Fax
Tax Classification
Required for NL affiliates 		*
VAT Number
Required for NL affiliates
Currency Euro
 
Payment Information
Receive your commission payments via free direct deposit if your bank is located in The Netherlands.
 
Note: One of the following payment types is required
  *
Bank Name *
Account Holder's Name *
Account Number *
Swift Code *
Payee's Name *
 
I have read and accepted the My Bulgarian Holidays Affiliate Service Agreement. *
 
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