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Company :
First Name* :
Last Name* :
Address* :
 House no. / Street :
 City / Town :
 State / Province :
 ZIP / Postal Code :
 Country / Region :
   
Delivery Address :  
 House no. / Street :
 City / Town :
 State / Province :
 ZIP / Postal Code :
 Country / Region :
   
Phone* :
Mobile :
Fax :
Email* :
Website :
   
Banking Information:  
Bank :
Registration no. :
Account no. :
IBAN code :
SWIFT code :
   
Promoter Commission:  
I would like training/products for commission
When you choose to receive products and/or courses/training with Acuity World for commission, we double your commission.
I would like to have my commission paid into my bank account.    Settlement Dates
Yes, I have read and accepted Acuity World WebShop General Promoter Agreement
Yes, I have read and accepted Acuity World WebShop Terms of Sale and Delivery
Yes, please add my name to the Acuity World WebShop Promoter List
Yes, I would like link to my website on Acuity World WebShop's site
Yes, I would like to receive a banner for my website
This will guarantee that your promoter-ID is automatically registered for the customers referred by you.
Yes, please send me the Acuity World Newsletter
   
Just as a promoter is entitled to cancel this agreement at any time, Acuity World reserves the right to cancel this agreement without notice.
 
   
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