Affiliate Application

Please fill out this application and click Submit Application below. We will review your application promptly, and contact you via e-mail. All of the information below is REQUIRED.

At no time will your information be shared with any other company.

Contact Name
 
Email Address
Please enter a valid email address. To complete the registration process, you will need to respond to a confirmation email sent to this account.
Password
You will be required to provide a password along with your email address to access order statistics and balance information.
Confirm Password
 
Phone Number
 
 
Business Name
Enter the name of your business. If you are an individual signing up to be an affiliate, please enter your full name.
Business Type
 
Tax Payer ID
Enter you business tax payer ID. If you are an individual, please enter your social security number.
Make checks payable to
Enter the name you would like the commission checks made out to.
Business Address
All checks will be mailed to the business address.
City
State/Province
 
Postal Code
 
Country
 
 
Web Site Name
Please enter the name of your web site.
Web Site Address
Please enter the web site address.

Dreamcastle, Box 3778, 14795 Carmenita Road, Cerritos, CA 90703-3778 USA