Affiliate Application

There is no charge to become an affiliate, no ongoing cost and you will earn commission on all sales made to individuals who arrive at the Country Supplies site via your own site, as long as your links to Country Supplies are correctly coded.

Please answer all of the following questions.

Name

Company

Telephone

Fax

Postal Address (Optional)

Company Reference Code This must be a unique reference code for your company, which we will use to identify visitors from your site. Use only letters and hyphens with NO SPACES, e.g. if your company is "XYZ International" then this reference could be "xyz-intl".

Contact Email

Confirm Email

URL of proposed affiliate site This must be just the website address that you will advertise the link to Country Supplies on. E.G: www.homepage.co.uk. We will only mark an order as coming from you if the referring link comes from this site. This is known as the HTTP Referrer.

Site Description Tell us a little about what your site does.

Preferred Payment Method Pay Pal Cheque If you choose Pay Pal, then please enter your PayPal email address below. If you choose cheque, then enter your postal address.

PayPal Email Address(Optional) More information on how to open a paypal account.