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 If you are NOT a Travel Agency click here

COMPANY AND PAYMENT INFO

Please enter contact information for the company to whom we should send payment.
Payee e-mail address
. This is your account e-mail address. It may not necessarily be the same as your login e-mail address.

First Name
. Administrative contact
Last Name
. Administrative contact
Payee Company name
. Enter the name of the bank account holder

Company Type
. Only for Italian affiliates
Vat code/Tax reg. no
.


Social Security Number
.


Address
City
State, province, or region
Zip or postal code
Country
Phone number
Bank Account Number
. (only for italian affiliates 12 DIGITS)
Bank Name
Bank complete address
IBAN Number
.

CIN
ABI
CAB
RTN/SWIFT/SORT code
IATA number (optional)


CONTACT INFO

Please enter contact information for the person responsible for maintaining your Web site.
Contact email address
Contact First name
Contact Last name
Preferred language
. Preferred language to communicate with us (email, fax, phone...)

 "CONTACT INFO" are different of "COMPANY AND PAYMENT INFO"? yes no
Address
City
State, province or region
Zip or postal code
Country
Phone number



Choose your Login and Password

Login
Password



About Your Website

Name of your Website
URL
How many individual users visit your web site each month? (Do not use commas or fullstops ie: 100000 is correct, 10,000 is incorrect)
. please fill in this field with NUMBERS only
How many page views are logged on your web site each month? (Do not use commas or fullstops ie: 100000 is correct, 10,000 is incorrect)
. please fill in this field with NUMBERS only
How did you learn about the Associates Program?
Site description
Site type


Check here to indicate that you have read and agree to the terms of the Operating Agreement.


Venere Net Spa, in conformity with article n.10 of the Italian Law 196/2003, declares:
  1. The data collected with this form are finalized to activate the Affiliate services, and will be treated electronically.
  2. Submitting personal data is mandatory in order to activate the services for the Venere Affiliate.
  3. Refusing to submit personal data denies access to the Affiliate services.
  4. The Affiliate is guaranteed by article n.13 of the Italian Law 196/2003.
  5. Responsible for the treatment of the data collected is Venere Net SpA, Viale della Camilluccia 693 - 00135 - Roma - Italy