InstantSpeak Spanish Affiliate Signup
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Affiliates Application Form

Affiliate information and Password: Please provide an affiliate name, password and email.
 

Choose a affiliate name
(affiliate ID):
 
Choose a Password:
 
Re-enter password
for confirmation:
 
Email:
 
Confirm Email:

 

Choose Your Payment Method
 


 

Only if you selected "Pay me by check" above:
Payee: Please enter contact information for the person or company to whom
we should make checks payable.
 
Payee name:
   

Enter the name exactly as it should appear on the
check. If the check is to be mailed to an individual
other than the Payee, enter "Attention:" and the
name of the recipient in "Address 1" below.
 
Address 1:
 
Address 2:
 
Address 3:
 
City:
 
State or Province:
 
Zip or postal code:
 
Country:
 
Phone number
(Optional):
     

 
 
Only if you selected "Pay me by PayPal" above:
 
PayPal email:
 

Confirm PayPal email:

 

 
Method you will refer by:
 

How did you learn
about the InstantSpeak
Affiliate Program?


Only if you will be reffering through a website:
 
What is the name
of your Web site?
 
What is your
Web site URL?
              Check to indicate that you have read and agree to the terms of the Operating Agreement.    
 
 
 
If you have any questions about the affiliate program, please contact us at affiliates@instantspeakspanish.com.