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Affiliate Application

Our program is free to join those who have Email ID with marthoma.com, it's easy to sign-up and requires no technical knowledge. Affiliate programs are common throughout the Internet and offer marthoma.com members of profiting from their websites/network. Affiliates generate sales for websites or coupon code and in return receive a commission for any sales they generate.

Enter a name for your site and provide its URL address.
Site Name:
URL:
Confirm URL:
* Primary Contact

Enter the contact information for the person who will receive all communications concerning the affiliate program.
First Name
Last Name
Title:
Phone:
Fax:

E-mail:
Pay Pal Id (We also pay by Pay Pal)
* Pay To Information
Enter the name that you want to appear on the commission cheque.
Pay To Name:
Enter the primary contact's mailing address.
Address 1:
Address 2:
City:
State:
Province/Other:
Postal Code:
Country:
Bank Information
Account Number:
Sort Code:
Bank Name:
Bank Country:
What is your business tax classification?
Tax Identification Number [Business/Individual]:
Trade Registration Number: