Login
 
  Home l Build Links l Payout l Join Affiliates l Recruit Downline l [ MA Affiliate Program ]  

  Affiliate Application Form
 
Check here to indicate that you have read and agree to the terms of the Operating Agreement.
Do you have a Mastery Academy login ?
:Yes
 Student ID
 Password  

:No
If you do not have a MA login and password, we will automatically issue you with one upon approval of your Affiliate application.

Payee: Please enter contact information for the person or company to whom we should make checks payable.
Payee Name:
Enter the name exactly as it should appear on the check.
Address:
City:
State:
Postcode:
Country:
Tel:
Fax:
Mobile:
Email:
Contact: Please enter contact information for the person responsible for maintaining your Web site. For many Affiliates, the Payee and Contact are identical.
Contact Name: (First Name)
: (Last Name)
Check here if your Payee and Contact information are identical.

Address:
City:
State:
Postcode:
Country:
Tel:
Fax:
Mobile:
Email:
Choose Your Payment Method
Pay me by MasteryAcademy.com Gift Voucher ($10.00 minimum earnings)
Pay me by check ($100.00 minimum earnings. Please note that we will deduct a processing fee from your referral fees in the amount of $8.00 for all checks sent.)
Describe your website
List your Web site URL(s)
Please enter the URLs one per line.
: Leave this blank if you do not have any website
Description & comments:
Briefly describe your site, including the type of items you intend to list. (try to keep this under 10 lines or so)
:
How did you learn about the Affiliates Program? :


 
Copyright © 2003 - 2007 by Mastery Academy Of Chinese Metaphysics Sdn. Bhd. All rights reserved worldwide.