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Affiliate Registration

Affiliate Registration

Congrats on taking the next step to becoming an Ampfluence Affiliate. You're only a few form fields away from completing the application process. Please ensure you provide us with accurate / up to date information. More importantly, when describing your promotional process be as detailed as possible. For example, include links to potential promotional material, the current size or your database or newsletter, or links to your social media properties. The more information you provide us the better your chances for approval.
Name*
First Last
Contact Email*

This email will be used to receive communications as well as for login purposes.
Enter Your Username*
Your username will be used to create your affiliate link. Please do not include any spaces. Note this cannot be edited in the future.
Password*
Enter Password Confirm Password

Strength indicator

This password will be used to access your affiliate account.
Business & Payment Details
For legal purposes, we need real, verifiable information regarding your business. This is how you get paid. Don't skip this part.
Business Name
Populate this field if you have a licensed business and require this information to be included in official documentation for accounting or taxation purposes.
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Tax ID# / EIN# (If USA-Based)
PayPal Email*

Your PayPal email address will be used to receive affiliate payments. Note, all affiliates must have a valid PayPal email address.
Contact Phone Number*
Promotion Methods
NOTE: This the most important part of the affiliate application. Please provide detailed and accurate information. We reject 80% of all affiliate applications due to an inability to verify the business, the person / individual's identity, and/or the online promotion methods. We need to see there is a pre-existing audience or traffic that matches our target client.
How will you promote us?*
Let us know how you plan on promoting Ampfluence. For example, are you going to share our link in blog posts, YouTube Tutorials, or your internal list. The more information you provide the better equipped we will be to approve you quickly.
Website URL*
Instagram URL
Pinterest URL
Other URL 1
Other URL 2
Consent*
I agree to the Affiliate Terms & Services*
Name
This field is for validation purposes and should be left unchanged.