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Affiliate Program
 

To become a registered JLP Club Affiliate, simply complete and submit the following application form. Please give as much information as possible.

Your application will then be reviewed and, if you are successful, a username and password will be issued to you so that you may access our online Affiliates Area.

Please note, fields marked with an asterisk (*) must be completed.

Company Name:*
Address:*
Postcode:*
City:*
County:*
Company Telephone:*
Company Fax:
Website:
Company Email:*
Last name:*
First Name:*
Position:
Personal Email:
Personal Telephone:

Personal Fax:

Note:
Company Profile:
Products & Services:
Details:
Access Method: Telephone Internet Direct Mail
Sector*: Household Technology Personal Leisure Business
Representative: