Sign up for Latin Jocks Affiliate Program

This sign up form is for our RECURRING WEBMASTER PROGRAM. If you would prefer out PPS system, please click here. Complete the application below and click Accept. Required fields are denoted with a ( * ). Once your account is verified via email you will receive a confirmation message that will provide you with further instructions on how to access your new account!

First Name* enter your first name here
Last Name* enter your last name here
Make Check Payable to if checks should be made payable to name other than the name on the application, enter it here
Email* enter your personal Email Address here
Company enter your company name here (or your personal name if you are not signing up on behalf of any company)
Address* enter your address here
City* enter your City here
State/Province* enter your State or Province here
Zip/Postal Code* enter your Zip or Postal Code here
Country* select your Country here
Tax ID enter the Tax ID of the company that is going to be rewarded commissions here (if applicable)
Social Security # enter the Social Security number of the person who is going to be rewarded commissions here (if applicable)
Phone enter your Phone Number here
Fax enter your Fax Number here
URL of your site Please enter the URL of the website you'll be using to promote JockCash's program.
Password* enter the password you will use to log into your Affiliate Account here.
Password Check* please type again the password here



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