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Affiliate Program Agreement

First Name *
Last Name *

Street Address *
City *
State *
Zip Code *

Cell Phone *

Text AFFILIATE to 208-291-6748 to enroll in text updates, reminders, invites and onboarding support

Email *

Are You Ready To Officially Join Our Affiliate Program?? *

YesNo

* I Understand And Agree To All Of The Valued Merchant Services Affiliate Program Agreement and Compensation Plan

VMS AFFILIATE PROGRAM AGREEMENT - CLICK HERE

Your Initials *

INDEPENDENT CONTRACTOR (YOU)

Your Full Name or Business Name *

Your Signature *

Please Input Today's Date *

US ISSUED: Social Security Number or Tax ID *

Your Date of Birth *

US ISSUED: Drivers License, State ID or Passport Number *

I consent to a background check conducted by VMS or an authorized third party

Background Check Initials *

* I understand and agree that by submitting my information above, I am officially joining Valued Merchant Services as an Affiliate (Independent Contractor / 1099). I also give Valued Merchant Services permission to contact me via email, phone and text messages (You can opt-out at anytime).

Affiliate Initials *

Once you click the Join Our Team button below

You will be redirected to complete the following

IRS W-9 form (Required)

Direct Deposit Enrollment (Required)

Upload Your Drivers License, State ID or Passport (Required)

Upload Your Social Security Card or IRS Tax ID Documentation (Required)

Questions? Email: [email protected]

IMPORTANT INSTRUCTIONS

ADD @valuedmerchants.com as a saved contact and to your safe senders list in your email account!

ADD Chris Del Grande 208-243-0818 as a contact on your mobile device!

This will ensure our phone/text & email communications get to you and do not end up in your spam folder!

By Clicking The Join Our Team Button

You Acknowledge & Understand The Compensation For Our

Affiliates Includes:

Weekly Commissions, Monthly and Annual Bonuses, Lifetime Monthly Residual Income and Other Performance Incentives

IT DOES NOT HAVE: Salary, Hourly, Base Pay, Draw or Health Benefits