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  PECASH Affiliate Program Signup Form   
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  YOUR ACCOUNT INFORMATION:
All fields are required unless otherwise stated.    
Contact Name:   
Contact Email:   
Contact Phone:   
Choose a Password:   
 
         Your Payment Information:
 
Minimum Payout:   
Payment Method:    Check
  Wire Transfer
   (Wire Transfers require Minimum Payout and send us this: Form)  
 
Commission Payable To:   
Country:   
Address Line 1:   
Address Line 2:   
City:   
State:   
Zip Code:   
 
         Your Tax Identification Information:
 
Tax Classification:      (Applies to US residents only.)
US SSN Or Tax ID:      (Applies to US residents only.)
 
  YOUR STORE SETTINGS:
 
         Choose Your Commission and Pricing Plan For This Account:
   20% of sale - Discount Retail Prices
         5% single level referral commission

 35% of sale - Manufacturer Suggested Prices
         5% single level referral commission

 20% of sale - Discount Retail Prices
         Unlimited multi-level referral commission

 35% of sale - Manufacturer Suggested Prices
         Unlimited multi-level referral commission
 
          Choose a Title For This Store:
   Discreet Online Shopping
 Virtual Sex Superstore
 Online Sex Superstore
 Your own title: 
 
        Upload a Logo For This Store:   (optional)
     Check here to use your own logo image 
     Upload logo image: 
      Warning!: GIF or JPG only, max height=34 px, max width=505 px
 
          Enter Your Site URL:
 
  (We link this URL to your logo and name in the header of your store)
 
   PECASH HAS A ZERO TOLERANCE FOR SPAM:
 
  Yes, I have read and accept the Terms and Conditions
Referrer:
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