Affiliate Application Form

Please answer a few short questions to sign up to our affiliate program.

Your Name*
First Last
Your Business Name
Your Email Address*
Location*
Number of Members/Audience*
Your Website*
What date will your campaign begin?
Date Format: MM slash DD slash YYYY
What date will your campaign finish?
Date Format: MM slash DD slash YYYY
Coupon Code Name Suggestion
Suggest a name that you will use for your customers (Eg. WanngiPromo2019). It must be unique and different to your business name. We will confirm the finalised coupon code in a follow up email.