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HollywoodPoker Affiliate Registration

Please use the HollywoodPoker Existing Player Affiliate Registration if you already have a Hollywood Poker account.
Please complete the Affiliate agreement below
 Personal Information
* Nickname
The nickname will be used as login user name. It must be 2 to 12 letters or numbers long. Please, no symbols or offensive words.
View examples here
.
   
* Email
(must be valid)
* Re-type Email
   
* Password
* Re-Type Password
Between 8-12 letters and numbers. Must include both letters and numbers.
   
* Only alpha-numeric characters allowed in the fields below.
   
* Title
* First Name
* Last Name
* Country
* State/ Province
* City
* Address
 
* Postal Code
* Phone
Cell Phone
* Date of birth
Time Zone
 
 
 Marketing Details
Company Name
Main Site URL
Additional URL
Additional URL
Marketing Methods
WebSite
E-mail
Offline
 
 Commissions
Revenue-Share[More info]
 
 Payment Method
* Payment Method
 
 Where did you hear about us?
* Where did you hear about us?
 
 Email Settings
Receive Affiliate Newsletters and Emails
Receive Hollywood Poker Newsletters and Emails


Please Note: To ensure that the Hollywood Poker Affiliate acceptance email and newsletters arrive in your inbox and not in your junk mail box, you will need to add support@hollywoodaffiliates.com to your address book or accept it as a known sender.
I have read and agreed to the terms & conditions
I confirm that I am over the age of 18
I have read and agree to the Affiliate Agreement
Note: * Indicates a Required Field
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