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Affiliate Program      

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Join the Fast Transact Affiliate Program

Please fill out all required fields below and click JOIN to submit your information.
You will receive an email confirming your registration with our system.

Affiliate Information
*Indicates Required Field
*First Name: Please enter your first name
*Last Name: Please enter your last name
*Email: Please enter a valid contact email address. All correspondence will be sent to this address.
Company: Please enter your company name here or re-enter your personal name if not associated with a company name.
*Address: Please enter your complete, accurate mailing address. All commissions will be sent to this address.
*City: Please enter your City
*State: Please enter your State or Province
*Zip/Postal Code: Please enter your Zip or Postal Code
*Country: Please select your Country
Tax ID: Please enter the Tax ID or EIN (if applicable) of the company that will be receiving payments.
Social Security Number: Please enter the Social Security Number (if applicable) of the person who will be receiving commissions.
Telephone Number: Please enter a valid contact number in the event we need to reach you on matters related to the affiliate program.
Fax Number: Please enter your entire fax number
URL: Please enter your entire URL - such as http://www.fasttransact.com
*Password: Please type your password.
*Password Confirmation: Please retype your password.
Make Checks Payable To: Please enter "Pay To" name if it differs from the name entered above.
Affiliate Agreement
Accept Affiliate Agrement

 

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