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Affiliate Program Application

Thanks for your interest in our Affiliate Program. Please fill out the form below to apply. Note we are currently only accepting affiliates from the following countries:

Australia
Canada

New Zealand
Singapore

United Kingdom
United States

Affiliate Application

denotes required fields

Company Details

Country:
Company:
Address:
Address (Cont.):
State / Territory
Postcode:

Contact Details

Email:
First Name:
Last Name:
Job Title:
Business Phone:
eg. (##) #### ####

Website Information

Websites:
Describe the purpose of your websites.
Include why people visit and the target market. Please be as specific as possible.
Top three countries that your visitors are from and percentage of total visits for each
Purpose(s) of foreign currency transactions of your website users

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Regional Links:

© Custom House Currency Exchange (Australia) Pty Ltd (AFSL: 238290, ABN: 95 086 278 659) is the issuer of any financial products described on this site. The contents of this site is subject to the warnings and terms and conditions set out on our Compliance and Legal page.

Affiliate Program Application

Affiliate Application

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