Application Form for R-TT Affiliate Program

Contact Information
First and Last Name*:
Company*:
E-mail Address*:	Your email address must be valid. Upon completion of your registration, you will receive an email with your Username and Password so you can login to your new affiliate account. If you do not login to your new account within 10 days of your registration, you will not receive future emails and your account will be terminated. Please type email address twice to confirm.
Phone Number*:
Mailing Address*:
City*:
State or Province:
Zip or Postal Code*:
Country*:
Website*:
Payment Information
IMPORTANT: Please read the information in this section carefully and ensure that the information you enter is correct. Failure to do so may unnecessarily delay commission payments to you.
Make Checks Payable to:
Issue Credits to Credit Card:	Credit Card must belong to you.
Credit Card Exp Date:	/
Transmit Wire Transfer to bank account:	Wire transfers are transmitted for commission totaling 1000 USD and more.
Business Number:	Required for all Canadian companies. Please enter your nine-digit business number with no dashes.
Please double check the information you have entered above for accuracy
By clicking Submit at the bottom of this registration page, you certify that the information you have entered in the above fields is correct. * Indicated required fields