Affiliate Sign Up Form

1.) Where shall we send your payments?
Make checks payable to...
Street
Box / Suite / Apt #
City
State / Province
COUNTRY	If you are not a USA citizen you must be a Paypal.com member and live in a country in which Paypal allows you to accept money otherwise we can not offer you an account.
2.) How can we contact you?
SHIPPING ADDRESS: (IF DIFFERENT )	NAME STREET ADDRESS CITY STATE/PROVINCE/REGION ZIP/POSTAL CODE COUNTRY
PHONE NUMBER(S): Required	Phone1 Phone2
FAX NUMBER:
E-MAIL ADDRESS: Required
TIN #: Tax ID Number
WEBSITE ADDRESS	If you do not have a website indicate below. You will need to email us or call in your customer's order along with your ID Number/Nickname, so you can get credit. Your customer will also get 10% off their order so feel free to show them the site.
Preferred Payment Method Required	Monthly Paypal payment Monthly Check
3.) Select a Nickname for your new account
Account nickname (5-10 letters & digits) The nickname you choose will be the "ID number" for your account. It will be visible to the customer every time we sell one of your products, and will appear on the memo line when we send you a check.
5.) Agree to our terms and conditions
By clicking SUBMIT below you consent to the following terms: Accounts containing invalid contact information (email address, phone number, etc) will be deleted without notice. Accounts associated with network abuse (including unwelcome email, crossposting, mousetraps, or respawning windows) will be suspended without notice. Payment is always subject to the terms of the Barkcloth Hawaii Affifiate Policy
Copy of the button you'll receive
After receiving your application we'll contact you with our affiliate button. Mahalo
Barkcloth Hawaii POB 31184 Honolulu, HI 96820 OR E-MAIL