Affiliate ApplicationFirst NameLast NameEmail AddressLogin and primary communication.Mobile PhoneOptional but useful for text alerts, onboarding, or payout notifications.Mailing Address / City / State / ZIPFor physical mail, compliance, and tax records.Business & Tax DetailsAre you signing up as an Individual or a Business?IndividualBusiness / LLC / CorporationLegal Business Name (if applicable)Preferred Payout MethodDirect Deposit (ACH)PayPalCheck by MailSubmit Application