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Publisher Registration

Thank you for your interest in the Rawmanticchocolate affiliate program. Please fill out the form below to apply to be a part of the program.

Please read

Acceptance is not guaranteed. While we carefully consider every application submitted to Raw manticchocolate, applications are typically rejected for the following reasons: (1) incomplete or false contact information, (2) invalid business or personal Tax ID (US affiliates only), (3) failure to disclose promotional methods, (4) unacceptable Web site content, including promotion of activity considered illegal in the United States, and (5) and inability to verify Web site(s), phone number(s), and email(s). Therefore to increase the likelihood of becoming Rawmanticchocolate affiliate please fill out this application fully and honestly. Fraudulent activity is not tolerated and will result in immediate account suspension and reversal of commissions. Questions? Please contact us. info@rawmanticchocolate.com

Required fields are marked with an asterix(*)

Company Information

Please be advised that all payments will be in $ US dollars currency

Non-Profit/Government
Corporation
Individual/Sole Proprietor
Partners
LLC/LLP
Other
Personal Information
Use of your corporate e-mail is strongly encouraged. (Ex. bob@company.com)
Your personal URL code will be created when you are accepted to give to your clients
If you wish to get paid via PayPal please fill out below.
All payments will be made on the first of each month.
Payment
To use or access the services, you must agree to be legally bound by the terms and conditions of this agreement by clicking "I accept" where indicated. If you do not agree to these terms and conditions, you have no right or authority to accessor use the services or exercise any other right in connection therewith.
I have read and accepted the agreement

I am atleast 18 years of age *

Once the application is submitted we will contact you via e-mail as soon as your application is processed, usually with 24 hours.