Partner registration - Breakout Bandits

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Partner ID

Partner details

Company name(Required)

Website(s)(Required)

List all websites that you will use to promote breakoutbandits.com

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utm_source

Partner type(Required)

Affiliate Partner

Sales Partner

Don't know what to choose, read the information behind the options or contact us.

We work with a "pay per sale" commission model with 15% commission of the total ordervalue. If you want to discuss another commission model or commission fee, please contact us.

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Commission model(Required)

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Commission percentage(Required)

Sales contact details

Sales contact person(Required)

First name Last name

Phonenumber(Required)

Email(Required)

We use this e-mail address to send the following information:

A confirmation of the registration of the partnership
All information and materials you need to get started. You can forward this to your webmaster / IT department.

Finance contact details

Finance contact person

First name Last name

Invoice e-mail

Invoice address(Required)

Street Address City ZIP / Postal Code Country

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Selected country

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Country code

Your country isn't in our standard service area. Please, contact us first. We will discuss the possibilities to add you as a partner.

VAT number(Required)

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VAT Number valid

Yes

No

IBAN

Enter your IBAN, for example: NL91 ABNA 0417 1643 00. We use this bank account pay the commission.

Consent

I agree to the partner terms and partner program

As a Breakout Bandits partner, you agree to our terms regarding collaboration, commissions, pricing, and responsibilities.

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DEPRICATED Do you want to send the invoice yourself?(Required)

Yes

No

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DEPRICATED Invoice first name

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DEPRICATED Invoice last name

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DEPRICATED Company name

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DEPRICATED Coupon code

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DEPRICATED Street

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DEPRICATED Postal code

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DEPRICATED City

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DEPRICATED County - English language

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DEPRICATED County - Dutch language