Affiliate Application Form – Welcome Rich Affiliates

Date / Time

Date

Time

It is important to read the guidance notes before completing this form.

Name *

First

Last

Email *

Create A Username: *

Create A Name For Your Coupon Code. *

The coupon code is your personalize coupon code that you as the sales affiliate will give to future customers for you to earn commission on future sales. Example of a coupon code: Indigo

Bitcoin Wallet Address(To Recieve Commission Payments) *

OBank pays Affiliates in Bitcoin ONLY. Note: Cashapp converts Bitcoin to fiat currencies like the United States dollar and etc.

Do you have any proficiency or experience in sales. *

Do you have any social media accounts. *

Example: FaceBook, Twitter, And Etc.

How many social media followers do you have? *

How will you promote OBank products and Services. *

Why should OBank allow you join our elite affiliate team? *

It is optional to send any documents or résumé to verify any statements.