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Complete the following form to create an affiliate account.

The fields marked with * are mandatory.

* First name

* Last name

* Country

* Email

* Create username

* Create password

* Re-type password

* Phone number

* What is your primary method for referring clients?

Affiliate – I use my website, email campaigns, social media, PPC, etc. without having direct contact with my traffic.
Introducing Broker – I may use my website, emails or social media and I have direct contact with my network. Non-applicable for EU Clients.

Website

* Terms & Conditions

I have read, understood and accept the terms of the Affiliation Agreement

Payment Instructions

* Choose a payment method

Bank Wire
easyMarkets Trader Account
Skrill
Bitwallet
Webmoney
Tether Payment Solution

Complete details for the selected payment method only.

Bank Wire payment instructions

Enter your banking details

* Account Name

* Bank Account Number

* Bank Street Address

* Bank Branch Name

* Bank City

* Bank Country

Currency of the account If your bank account is not in USD, enter the three letter currency code for your account here (Eg. EUR/AUD/..)

Bank IBAN

* Bank Name

* Bank Swift

easyMarkets Trader Account payment instructions

Enter your username and ID

* Trader ID Enter your user id

Trader Username Enter your username

Skrill payment instructions

Enter your Skrill email address

* Skrill Email Enter your Skrill email address

Bitwallet payment instructions

Enter your Bitwallet address

* Bitwallet email address Bitwallet email address

Webmoney payment instructions

Enter your Webmoney account

* Webmoney account Enter your Webmoney account

Tether Payment Solution payment instructions

Please insert details

* Tether(USDT) address Please insert address