Application to become an affiliate of RandyGage.com

This affiliate program is managed and paid by Prime Concepts Group.

Please fill out the name and address of the person in charge of the sponsoring website. This is the person to whom we will address all correspondence about your participation in the Affiliates Program.

Note: You must enter a password to protect your account and you must enter the admin contact email address so that we can contact you if required.

Adminstrative Contact Information
Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal:
Country:
Phone:
Fax:
Email:
Confirm Email:
	Please double check your email address in the above field, as this is where we will be sending you all of your information.

Payee Contact Information Please fill out the name and address of the person to whom we should send referral payments earned through this program. Please fill out all of the fields, even if they are the same as above, as this information is automatically imported into our database and what you input here will be what name appears on your monthly check and where the check is mailed to.
Click here if info is same as Admin info
Company Name:
First Name:
Last Name:
Address1:
Address2:
City:
State:
Postal:
Country:
Phone:
Fax:
Email:

Tax ID: (optional)
Password:
Password (confirm):
Website URL: (You must own or operate a website)
Website Title:

Please review the Operating Agreement which describes the terms and conditions of your participation in the Affiliates Program. Once you have filled out this form and reviewed the agreement, press the "Submit" button to submit your application. If your application to participate in the RandyGage.com Affiliates Program is accepted, you hereby agree to be bound by the terms and conditions of the operating agreement which you hereby state to have read and understood. It is against your associates agreement to advertise RandyGage.com via unsolicated email. Some people think that associate's "spam" email originated from us, damaging our reputation and causing us many administrative problems. DO NOT send unsolicited email to promote RandyGage.com, or you will be in violation of your associate's operating agreement and your account will be terminated, forfeiting all outstanding referral fees. Your cooperation and understanding is appreciated.

You will be contacted within 5 minutes by email with your special assigned URL and easy instructions on how to get everything set up immediately.

Keyword : This field is optional and used in your link in place of your affiliate number.

If you experience any problems, please contact us.

This affiliate program is managed and paid by Prime Concepts Group.