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Affiliate Portal Certification Form

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    Your Name (required)

    Your Email (required)

    URL of your affiliate portal (required)

    Gambling Affiliate Voice Username (required)

    Websites You Own or Are Associated With:

    Websites Launch Date(s) (required)

    [/vc_column][/vc_row][vc_row][vc_column][vc_column_text css_animation=”left-to-right”]If you have questions about the application process or are experiencing difficulties using the above form, please contact Valentina at [email protected].

    Note: all fields that contain the * symbol are required to be filled to process the applications[/vc_column_text][/vc_column][/vc_row]

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