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If you wish to register as an affiliate, please fill out form provided for you below. The Payment Method drop-down menu lets you pick how you want to be paid for your traffic, and the Minimum Payout drop-down menu lets you pick the amount of payment you have to reach in order to be paid.

Aziani Gold Affiliate Signup

Account Information
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Password: Verify Password:
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Contact Information
E-mail: Verify E-mail:
ICQ: AIM:
Mailing Address
First Name: Last Name:
Address: Address (cont):
City: State:
Zip Code: Country:
Payment Details
Payment Method: Minimum Payout:
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Address (cont): City:
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Country:  
Tax ID/SSN: Only if in US