Domain Name Affiliate Program, Web Hosting Affiliate

Sign Up

Please complete the following form to join the WebFarm Affiliate Program.

BOLD Indicates required field.

Login Details

Your Affiliate ID can be your name, company name or an abbreviation. It will become your Login Username and is also the code that is assigned against your Domain Names. Eg Joe Bloggs might choose 'jbloggs'

Affiliate ID:	a-z, 0-9 (must be lowercase)
Password:	Between 6 and 10 characters, (case sensitive)
- Confirm:	Confirms your password above was not mis-typed

Website Details

These details are for the primary site that the banners will be placed on.

Site Name:
Site URL:
Site Usage:

Affiliate Details

Name:
Company:
Address:
City:
Country:
Phone:
Fax:
Email Address:

Bank Account Details

Please use your full Bank Account Number. You can select your Bank from the list provided.
Note: International partners, please contact us

Bank Name:
Account #:	- - -

GST Number:	- -

How Found

Please select how you first found WebFarm's Affiliate program (affiliatesales.co.nz)

How Found:
Other:

Terms & Conditions:

I agree to the WebFarm Affiliate Program Terms & Conditions.