Affiliate Program Registration Form

Scheme Terms:

Digi-Prints Ag Affliate Scheme terms (agreement) will be made available to you upon successful registration and acceptance into the scheme.

Title

Complete if you selected 'Other' above If you selected 'Other' above, please enter your title below

Profession (Occupation) Enter your profession (occupation)

E-mail address Enter your E-mail address

Telephone No. Enter your telephone no.

How did you here about the Digi-Prints Affiliate Program

Complete if you selected 'Other' above Enter how you heard about us/ the Digi-Prints Affiliate

PLEASE SUBMIT TO COMPLETE YOUR REGISTRATION