Holiday Site Builder

Affiliate Registration

Website name / URL: *
If you were referred by another affiliate, please state the affliate's website name:
Name of your company:
Name of primary contact: *
Contact Address / Registered Office: *
Email address: *
Telephone Number: *
How would you like to be paid? *	Paypal Bank Transfer

Registered Paypal email address: *

If you would like banners designed free of charge for you by HSB, please state the size of the banner(s) you would like:	468 x 60 pixels 234 x 60 pixels 125 x 125 pixels 120 x 600 pixels
	I have read and agree to the HolidaySiteBuilder Affiliate Terms and Conditions and to receive important communications electronically from HolidaySiteBuilder.