Publisher / Affiliate Signup

To become an approved Cleverat affiliate simply complete the form below. All required fields are highlighted with a * If you have any questions please contact us.


Your Basic Details

Company
First Name*
Last Name*
Phone*
Mobile
Fax
MSN
Skype
Address*
Address 2
Town*
Postcode*
Country*
Email* This will be your user name
Password*

 

Your Payment Information

Threshold* Payment when your balance exceeds £50
VAT No EU companies must supply this information
Payment To*

 

Site Information

Primary Website*
Site Type*
Site Description*
Site Views / Month*

Select the categories your site falls under:
Primary Category *
Secondary Category
Comments
Please enter the eight digits that appear in the image below.



I have read, understand and agree to all the Terms of Agreement

 

We will review your application within 2 working days. If you have any questions, please contact affiliates@cleverat.com or call +44 (0) 1277 772 5102



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