Affiliate Program New Registration - General Wax and Candle Company

Affiliate Program New Registration

Please complete the following:
* do you agree to the terms of the operating agreement yes no
* your e-mail address:
* your full name:
* URL of your site:
* your phone number:
your fax number:
* your link back URL:
* your link back phrase:

e-mail me every time an order is made yes no
e-mail me every time an invoice is created yes no
send a check when you owe me this much or more: $

* name of payee - can be a charity:
* payee street address line 1:
payee street address line 2:
payee street address line 3:
* payee city:
*( us only) payee state:**
*( us only) payee postal code:**
payee country code:
* payee entity type:	corporation, partnership, LLC, individual, other
*( us only) payee tax id:**