Sales Representative Signup Form
We pay our Affiliates in the U.S.A., and Worldwide via U.S. Bank Check, Cash and
Direct Deposit. Cash and Direct Deposit is paid via Western Union (in all countries worldwide), and U.S. Bank Check is mailed worldwide
via U.S. Postal Mail.
(Please make sure this is correct.)
Payable to Name:
(You will need a Drivers License or Government Photo ID with this name on it if picking up cash,
or withdrawing funds from your bank.)
(For Sales Rep of the Month. Photo will be displayed on corporate webpage, in the affiliate program, and also on several other news
and media outlets in the future. Please upload a photo of yourself with your head and face clearly visible. Thank you.)
(Affiliate Bio will be streamed to media outlets in the future to showcase our successfull affiliates.)
Cash will be sent to your nearest Western Union payment location based on the city and country specified in your payment address above.
You can find your Western Union payment location here.
U.S. Bank Check is sent directly to your address specified in payment address above, if selected.
Bank Account Number:
Bank Routing Number:
I agree to the Sales Representative Agreement.
Enter Verification Code: