Affiliate Registration

Affiliate Registration Form

Step 1 of 3

Select type of Quicklink Affliate(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region Country

Do you have the approval of the head of your organization?(Required)

This is for In-house Ambassadors

Yes

Important Notice

Please note that you must obtain approval from your head of organization to be considered for our in-house ambassador role.

Please upload a letter from the head of your organization(Required)

Max. file size: 20 MB.

List your social media handles and number of followers for each one

Bank Name(Required)

Where your earnings shall be paid

Bank Account Number(Required)