Venere Affiliate Program

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Affiliate Access

PASSWORD:

COMPANY AND PAYMENT INFO

Please enter contact information for the company/account holder to whom we should send payment.

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

Company name:

Enter the name of the bank account holder.

Company Type

Only for Italian affiliates

VAT code:

Only for Italian affiliates

Tax Number:

Only for Italian affiliates

Address:

City:

State, province, or region:

Zip/postal code:

Country:

Phone number:

Bank Account Number:

Bank Name:

Bank complete address:

IBAN Number:

.

CIN:

ABI:

CAB:

SWIFT/ABA/SORT code:

CONTACT _INFO

Please enter the contact information for the person responsible for maintaining your Web site.

Contact e-mail address:

Contact First name:

Contact Last name:

Preferred Language:

Preferred Language to communicate with us.

"CONTACT INFO" are different from "COMPANY AND PAYMENT INFO" ?

Yes No

Address:

City:

State, province or region:

Zip/postal code:

Country:

Phone number:

LOGIN

Choose your Login and Password

Login:

Password:

ABOUT YOUR WEBSITE

About Your Web Site

Name of your website:

URL

How many unique visits does your web site receive 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 Affiliation 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:

The data collected with this form are finalized to activate the Affiliate services, and will be treated electronically.

Submitting personal data is mandatory in order to activate the services for the Venere Affiliate.

Refusing to submit personal data will result in refusal to access the Affiliate services.

The Affiliate can exercise rights as per article no.13 of the Italian Law 196/2003.

The responsible for the treatment of the data collected is Venere Net SpA, Viale della Camilluccia 693 - 00135 - Roma - Italy

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