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Become an Affiliate

     
       
    To become a GoSure affiliate is very simple and you can start earning referral fees almost immediately. Please complete the form below and we promise to assess your application within 2 working days.  
     
    If your application is successful we will send you:  
   
  • The GoSure welcome pack
  • A choice of banners with the relevant HTML code for liking to our site
  • Your unique Affiliate Identification Code to correctly allocate sales to you
 
    Application to be a GoSure affiliate  
   

 

Company Name:
Description of Business:
Contact Name:
Address:


Post Code:
Main Phone:
Contact Phone:
Fax:
E-mail address:
Your website URL:
(You must enter this as we use the referring domain to identify affiliates.)
 
 
    Bank Sort Code:  
    Account Number: (For BACS)  
   

OR if based outside the UK make cheque payable (in GBP) to:

 
     
   

How did you learn about the GoSure Affiliate program?

 
   
 
    I accept the Terms and Conditions of the Affiliate Agreement  
     
    By submitting your application to GoSure you are agreeing, if accepted onto the program, to be bound by the terms and conditions of the GoSure affiliate operating agreement.  
Please choose a password:
Please Confirm the password:
Note the email address you entered will be used as your username, when logging into the Gosure affiliate site.
     
   

 
     

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