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Scavenger Affiliate Programme
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Scavenger affiliate application form

To apply to become an affiliate, please complete the form below. Your application will be considered and you will be notified by e-mail within three working days about your success. If approved, you will be notified by e-mail and the details from this form will be used to create your affiliate account. We reserve the right to decline applications we do not consider to be appropriate for the programme.

The fields marked with * are mandatory.


  Your details
Contact details
First name *
Last name *
Position  
E-mail *
Confirm e-mail *
Phone number *
Fax number  
Company details
Business name *
Address 1 *
Address 2  
City/Town *
County *
Country *
Postcode *
Website URL *
Website description (incl. target audience) *
VAT registration number *
Username & password
Username *
Password *
Confirm password *
  Opt-out follow up e-mails
Terms & Conditions
Accept Terms & Conditions *


By ticking this box and clicking 'Submit', you are agreeing to our Terms & Conditions.
 
Submit   


Notes

Your password must be different from your username. We strongly recommend you use passwords of five or more characters.

Please check that you have entered your e-mail address correctly because it will be used to confirm your application and for administration of your account.

The information you submit is entirely confidential. We will never sell, exchange or market it in any way. For further information on the responsibilities of both parties, you may refer to our Terms & Conditions.
 

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