Referral Partner Registration When you sign up to be a referral partner, you’ll get links, banners and other images you can use on your website that will help you promote us! Simply fill out this web form we will setup your account! Part 1 – Contact Information First Name * Last Name * Phone * Email * Part 2 – Where To Send Commissions Street Address 1 * City * State * Postal Code * Part 3 – Referral Partner Registration SSN/TIN * We required your SSN/TIN for proper tax documentation ***CAMPAIGN LAUNCH NOTES*** 1. Hover over the three fields below and click the wrench symbol in the upper right corner of the blue bar 2. In the ‘Add to’ section of the Programs setup, select the commission plan this form is going to sign them up for; hit Save 3. Hover over this note block and delete it with the trash can button in the upper right so it doesn’t show up on the live form ***END CAMPAIGN LAUNCH NOTES*** Username * Password * Confirm Password * Notify on Lead Yes No Notify on Sale Yes No Sign Me Up!