TRAVEL AFFILIATE PROGRAMS

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If you are not a business you can leave the area blank. If you are signing up as a business input your name in this block.
Full Name of Applicant (Finance Officer/Owner/Program Coordinator)
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Last
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City
State / Province / Region
ZIP / Postal Code
(If you do not own a business or part of an organization skip to Personal Information Section)
Enter your Federal Employer Identification Number(FEIN). If you are signing your current
business up as an Agent Affiliate or if income earned is going to be deposited into a business
account. Otherwise, enter your SSN.
Type in at least two paragraphs about your business or future business. This will be used as the About Us section of your website.

PERSONAL INFORMATION SECTION (PERSONAL ACCOUNT SIGNUP)

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Middle
Last
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If you select to receive a direct deposit payment, we request you to submit the direct deposit form with a canceled check from your financial institute. Commissions are paid monthly.
City
State / Province / Region
City
State / Province / Region

(Enter Home Address)

Enter your Date of Birth
Social Security Number is required for Federal Income Tax Reporting

TRAVEL PROGRAM SELECTION:

Select the primary program you are joining!

Select the primary program you are joining!

IRS-1099 REQUIREMENT

EMERGENCY CONTACT INFORMATION

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First
Last
City
State / Province / Region
ZIP / Postal Code

SIGNATURE BLOCK

Name of Applicate: Entering your name in this box this represents your official online signature. Your signature confirms that you agree to all the term and conditions inside the Travel Affiliate Program. You full understand that Personalized Services International, LLC program has the right to cancel this program at anytime without notification. Your application will be submitted immediately to our company for full consideration. You are welcome to contact us direct for any additional questions, comments or concerns.*

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