Legit Credit Affiliate Program

Affiliate Registration Form
Submit all pages and do not click your browser's back button.
If you make a mistake, you can correct it after submitting all pages.

Affiliate Approval Requirements:
1) You must be a U.S. citizen residing in the U.S.
2) You must provide a valid phone number for verification
3) You must own a US consumer credit website

Step 1 of 4. Enter your personal data.

Agent information	*=Required
*Company or Your Name
*Site URL (without http://) Specify multiple domains by separating each with a comma
*Daily traffic
*Login (8-20 chars long)
*Password (8-20 chars long)
*Password again
*First name
Middle name
*Last name
*Street Address (No PO Box)
Apt or Suite Number
*City
State
*Zip Code
*Country (Only US Accepted)
*Phone Number (Must be correct):
Fax number
*Email (MUST be from your domain URL)
Accept email from us?
Can receive HTML Email?
Do you offer incentives/rewards to site visitors for helping generate revenue?
Where you heard about us?
Your Comments
If you perform Email marketing, please explain how you obtain email addresses, and if you require double opt-in. If you power your own email newsletter, provide us with the URL of your email registration form.