Welcome to the SuccessDirectUSA Affiliate Opportunities

Referring Affiliate: [EXTRA20]

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[EXTRA20] invites you to

Your Referring Affiliate, [EXTRA20], Invites You To JOIN Now

Affiliate's Name / Company Name:
[EXTRA20]

Affiliate's ID#
[PAGENAME]

Affiliate's Email:
[EMAIL]

YES, I want to join as a FREE Affiliate. I understand this membership is absolutely free. I understand once I am a FREE Affiliate, that I can order my SuccessDirectUSA MasterCard and any other products or services under Step2. I will have the opportunity of upgrading my membership to RESELLER Affiliate. I understand I must first complete the Step1 FREE Affiliate Application below and CLICK the Step1 - Submit Button.

FREE AFFILIATE INFORMATION
(*= Required Fields)

United States - Free Affiliate Application
International - Free Affiliate Application

United States Free Affiliate Application

Contact Information
First Name:	*(John - Use Upper & Lower Case)
Last Name:	*(Smith - Use Upper & Lower Case)
Name to be Displayed on Your Site:		*This is the NAME people will SEE on your personalized SuccessDirectUSA website. (Please use Upper & Lower case.)
Company Name:
Date of Birth:	*(10/25/55 )
Address:	*

City:	*
State:	*
Zip/Postal Code:	*
Country:	*
Contact Phone:	*(561-333-1234)
E-mail:	* ( we will use this email address for all correspondence)
Confirm E-mail:	*(support@successdirectusa.com)
Special email Note:	Your email address must be valid. Upon completion of your registration, you will receive an email with your Username and Password so you can login to your new affiliate account. Please type email address twice to confirm.
Payment Information
Make Commissions Payable To:	* Checks should be made payable to the Contact First & Last Name and / or Business Name. MasterCard Paycards can only be issued with a First & Last Name. Business Names cannot be placed on your MasterCard. You will receive a 1099 Earnings Form at the end of the year.
Taxpayer Identification Number SS#/EIN#	* By federal law, Success Direct International, LLC is required to maintain Taxpayer Identification Numbers (TIN) for U.S. persons and firms to whom Success Direct Interlational, LLC makes disbursements. The number you provide MUST correspond to the payee you have identified above. For individuals, this number is your Social Security Number (SSN). For other entities, it is your Employer Identification Number (EIN).
Taxpayer Identification Number Type	* Required of all U.S. residents.
Tax Classification	*
Owner Name (For Sole Proprietorships only)	Required of sole proprietorships.
Website Information (only if you have your own website)
Name of Website:	(Yahoo!)
URL of Website:	(www.yahoo.com)

PLEASE READ & CHECK BOX!

By checking this box, I Acknowledge that I have read and agree to SDI's Terms and Conditions.

By checking this box, I agree to abide by the terms as outlined in the SDI Spam Policy:

PLEASE NOTE: SuccessDirectUSA Affiliate Independent Representatives may not use unsolicited email, also known as "SPAM" to promote SuccessDirectUSA.com in any manner. So called "opt-in" lists often contain spam addresses and these cannot be used unless you are positive that their are no unauthorized addresses in them. Any member or independent representative who violates this policy will be terminated immediately and will lose his/hers entire Sales Group.

THIS FORM WILL BE SENT ON A SECURE SERVER FOR YOUR PROTECTION
(This may take a few minutes)

The Next page you see will be our "THANK YOU". Please CLICK on the Affilite Info Button to receive your "FOUNDER'S" Pre-Launch Site URL, Private "FOUNDER'S" URL and User ID# Immediately online. You will receive an email confirming all your Affiliate information.

If you have any questions, contact us at: support@successdirectusa.com.

Clicking the Submit Button indicates that you have carefully read this Agreement and that you willingly accept all the Terms and Conditions and certify that you have submited the proper taxpayer identification number.

ONLY CLICK THE SUBMIT BUTTON ONCE!

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