ClickBank Signup Form
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1. Where shall we send your checks?
Make checks payable to...
Street
Box / Suite / Apt #
City
State / Province
Zip / Post Code
USA
CANADA
Andorra
Anguilla
Antigua & Barbuda
Aruba
Ascension Is
AUSTRALIA
Austria
Bahamas
Barbados
Belgium
Belize
Bermuda
Bolivia
Botswana
Bouvet Is
Brazil
CANADA
Cayman Is
Chile
China
Colombia
Cook Is
Costa Rica
Cyprus
Czech Republic
Denmark
Ecuador
England
Estonia
Falkland Is
Faroe Is
Fiji
Finland
France
Germany
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Heard & McDonald Is
Honduras
Hong Kong
Hungary
Iceland
India
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Kenya
Kiribati
Korea (South)
Latvia
Lithuania
Luxembourg
Maldives
Malta
Martinique
Mauritius
Mayotte
Mexico
Monaco
Montserrat
Namibia
Nauru
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niue Is
Norfolk Is
Northern Ireland
Norway
Panama
Paraguay
Peru
Philippines
Pitcairn Is
Poland
Portugal
Reunion Is
St Helena
St Kitts & Nevis
St Lucia
St Pierre & Miquelon
St Vincent & Grenadines
Samoa
San Marino
Sao Tome & Principe
Scotland
Seychelles
Singapore
Slovakia
Slovenia
Solomon Is
South Africa
Spain
Sri Lanka
Suriname
Svalbard & Jan Mayen Is
Swaziland
Sweden
Switzerland
Taiwan
Tokelau
Tonga
Trinidad & Tobago
Turks & Caicos Is
Tuvalu
United Kingdom
USA
Vanuatu
Vatican
Venezuela
Virgin Is (UK)
Wales
Wallis & Futuna Is
Country
We accept clients from over 100 countries. If your country is not listed we cannot offer you an account.
2. How can we contact you?
Your name.
Your email address. (example: joe@aol.com)
Your phone number. (required!)
Address of your web site. (if any)
3. Select a nickname for your new account.
The nickname you choose will be the "ID number" for your account. It will be visible to the customer every time we sell one of your products, and will appear on the memo line when we send you a check.
Account nickname (5-10 letters & digits)
4. Agree to our terms and conditions.
By clicking SUBMIT below you consent to the following terms:
Accounts containing invalid contact information (email address, phone number, etc) will be deleted without notice.
Accounts associated with network abuse (including unwelcome email, crossposting, mousetraps, or respawning windows) will be suspended without notice.
Accounts associated with promotions that conflict with ClickBank's return policy will be suspended without notice. Our return policy is:
ClickBank will, at its option, replace or repair any defective product within 90 days from the date of purchase. After 90 days all sales are final.
Payment is always subject to the terms of the
ClickBank Paycheck Policy
and the
ClickBank Client Contract
.