Affiliate Signup -PlaySQR Affiliates

Username *

Required 4 characters,

Password *

Required 8 characters,

Confirm Password *

Required, equals Password

First Name *

Email Address *

Company Contact Number

Website URL *

e.g: http://www.examplexyz.com

City *

Zip Code *

Skype ID

Required minimum 4 characters

Last Name *

Company Name

Contact Number *

Address *

State/Province

Country *

Payment Settings

	Brand	Website URL
	PlaySQR	www.playsqr.com

I accept the Terms and Conditions for PlaySQR Affiliates programme.

[Note : Mandatory fields are marked with an asterisk (*) ]