Kanetix.ca Affiliate Signup

Affiliate sign up form

* Asterisk denotes mandatory fields that must be filled in.

Please note:
You must use a different email address for each affiliate account that you create.
(For example, if you wish to have a separate account for each URL or grouping of URL's that you represent)

Website URL

If you do not have a web site and intend to promote our program through other means, eg. email marketing or Pay Per Click advertising, please enter: www.nosite.com in the URL field below. This will let us know that you have something slightly different in mind, and our Affiliates Manager will be in contact with you for a few more details before processing your application. You must enter some kind of URL here in order for our system to accept your application.

* The URL of your website or www.nosite.com as described above (Less than 100 characters please)

Password

* Enter Password
* Confirm Password

Contact Information

* Contact Name
* Email address

Payment Information

* Company/Organization/Payee Name

Mailing Address

* Street address
* City
* State / Province
* Country
* Zip / Postal Code

Phone Number

Phone number
Optional but preferred.

* Click to read and accept the Terms and Conditions.