Affiliate Registration

New Affiliate Registration

HOTELS - Are you writing on behalf of a hotel and wish to list your property on our website?

If so - PLEASE DO NOT use this form. You need to fill out our Hotel/Property Registration Form and one of our product staff will contact you with all the requirements.

General Account Details

Company Name:	*
Website Address:	*
First Name:	*
Last Name:	*
E-mail Address:	*
Confirm E-mail Address:	*
ABN (Australian businesses only):
Street Address:
City:
State:
Post Code:
Country:	*
Password:	*
Confirm Password:	*
Payment Currency:	*
Payment Method: your preferred way of receiving commission.	cheque direct deposit
Preferred Minimum Payment Amount: for cheques minimum amount is .	*
Are you a licensed travel agent?: (Please tick if Yes)
Please note, fill out the details for the selected payment method only.

Cheque Recipient Details

Click to copy from account details
Make Cheque Payable To:
Send Cheque To - Name:
Send Cheque To - Address:
Send Cheque To - City:
Send Cheque To - State:
Send Cheque To - Post Code:
Send Cheque To - Country:

Direct Deposit Details

Bank Name:
Bank Address:
Bank City:
Bank State:
Bank Post Code:
Bank Country:
SWIFT/BIC Code or BSB: (BSB - Australian accounts only)
Account Name:
Account Number/IBAN:

Book Online Securely - The security and privacy of the personal details you provide are of the utmost importance to us. We never release or sell your personal information to any unauthorised party. This is backed by our Security Guarantee and Privacy Policy. All transactions are secured by SSL encryption. Click on the THAWTE Secure Site icon to view our SSL Web Server Certificate.

*	I accept the HotelClub Affiliate Agreement.

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