Programma Affiliato

Se hai già un account con noi, sei pregato di effettuare il login qui.

Per creare un account affiliato, riempi il modulo sottostante assicurandoti di compilare tutti i campi obbligatori:

I tuoi Dettagli Personali

Nome

Cognome

E-Mail

Telefono

Fax

I tuoi Indirizzi

Compagnia

Sito Web

Indirizzo 1

Indirizzo 2

Città

Codice Postale

Paese

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Informazioni di Pagamento

ID Tassa

Metodo di Pagamento

Assegno

PayPal

Bonifico Bancario

Nome Beneficiario Assegno

Account E-mail PayPal

Nome Banca

Numero ABA/BSB (Numero Filiale)

Codice SWIFT

Nome Account

Numero Account

La Tua Password

Password

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