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Affiliate Sign-Up Form

Our sign-up form is designed to help you get your affiliate site started in 3 easy steps. If you have any questions, please email us at affiliates@kemwel.com.

Step 1. Info About You & Your Company

Contact Info
Contact Name
Contact Email
Payee Name
(Name of person or company to make checks payable to, if different than contact name.)
Telephone Number
Fax Number
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Company Info
Company Name
Address
 
 
City
State/Province
Post Code
Country
Agency IATA, ARC or CLIA Number
(if applicable)
Your Website URL
Average Monthly Hits
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YES, I have read the Affiliate Agreement for the Kemwel Affiliate Program.
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