Ads REFERRAL Program FORM


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Name:



Address :




Email Address:




phone number :




Type of payment you choose:

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IF YOU CHOOSE BANK TRANSFER, PLEASE SELECT ONE :




ACCOUNT NUMBER :




I hereby declare that: I agree to all terms and conditions of the Referral Program, issued by the V & A Collections ( Our E-LIFESTYLE ), and willing to work with the V & A Collections (Our E-Lifestyle) in the sales process services WEB SITE ADVERTISING on the V & A Collections (Our E-Lifestyle) to prospective customers that I refer.

I Agree





AFTER YOUR APPLICATION WE AGREE TO, YOU WILL GET : REFERRAL ID. MEMBER, via e-mail to You.




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