Richters Web Affiliate Program

Registration Form

Fields marked with an asterisk (*) are mandatory.

WEBAGENT ID:	111.152
WEBSITE NAME:
WEBSITE URL:
EMAIL ADDRESS*:
YOUR NAME*:
ORGANIZATION:
WEBAGENT TYPE*:	Individual Business Institution Government Media Nonprofit
ADDRESS Line1*:
ADDRESS Line2:
CITY*:
PROVINCE/STATE: (Canada, USA & Australia)*
PROVINCE/STATE: (Other countries)*
POSTAL/ZIP CODE*:
COUNTRY*:
PAYMENT FORM*:	Double Your MoneyDouble Your Money! You can choose to accept a credit to your Richters account worth twice the cash value of your earned commissions. Currently, the cash value of commissions is 10%, so you earn 20% if you choose this option! Use the credit against future orders at Richters for herb plants, seeds, books, gifts, and more. Check the "Double Your Money" button and your account will be credited on the next scheduled payout day. credits Take the CashTake the Cash! You can choose to accept payment of your earned commissions by check on the next scheduled payout day. Currently, the commission is 10% if you choose this option. But if you choose the "Double Your Money" option instead you can earn 20%! by check
PASSWORD*:
REPEAT PASSWORD*:
For security reasons passwords must be at least 12 characters long, and must contain numbers, upper and lower case letters and at least one other keyboard character such as a "!", "%" or "&".