EGO - Brands that deliver

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Dear Affiliate please confirm your account details at EGO.

The information is required for billing and administration purposes, and valid data will speed up cash out procedures.

ACCOUNT DETAILS

First name

Last name

Username

Password

Repeat password

Phone number

Mobile number

Fax number

Website URL

Company

VAT Number
(if applicable)

Occupation

Comments

Address

City

State

Zip code

Skype Name

Country

PAYMENT DETAILS

Payment Options

I have read and agree to the EGO Terms and Conditions.
I will not offer or advertise any form of Rakeback in connection with RedKings.

Receive Marketing Emails

Beneficiary name

Address

Country

VAT

Bank Name

IBAN

Account Number

SWIFT/BIC

Beneficiary name

Address

Country

VAT

Neteller Account ID

Email on Neteller Account

Beneficiary name

Address

Country

VAT

Email on Skrill Account

Beneficiary name

Address

Country

VAT

Account number

Beneficiary name

Address

Country

VAT

Email on PayPal Account

Beneficiary name

Address

Country

VAT

Iwallet Account ID

Email on Iwallet Account