Common SENSE Diet - Affiliate Application

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Affiliate
application

If you are not an affiliate and would like to become one, please enter your details beow to sign up to our affiliate program (All fields with an * are required).

After you submit your application, an email will be sent to confirm your email address. The email will contain a link to the affiliate code page. You will need to copy and paste the affiliate code into your site.

Before completing the form below please read our affiliates terms and conditions.

Applications to our affiliate scheme are moderated. As such they may take up to 2 working days to process. You will not recieve the confirmation email until your post has been approved.

Company Name:
Company Type:
*Tax Number :** (if registered)
*First Name :**
*Surname :**
*Website :**
*Email Address :**
*Address :**
Address 2:
*Town :**
*County / State :**
*Postcode :**
*Country :**
*Phone :**
Fax:
*Username :**
*Password :**
*I agree to the terms and conditions :**		Before completing the form below please read our affiliates terms and conditions.

If you have any questions please email us at: affiliates[at]common-sense-diet.org.