Signup - Affiliate Marketing Program at Dafabet.com : Affiliate Marketing Program at Dafabet.com

Account Information

First Name

Last Name

Company Name*

Email*

Confirm Email*

Country Code*

Contact Number*

Please insert your preferred contact number.

Country*

Preferred Language*

Marketing Information

Choose Product

Website URL*

Payment Details

Payee Name*

The payee name should be the same as the name of the account holder (bank or other payment provider)

Payment Method*

Bank Name*

BIC/ABA/Swift code*

Account no.*

Full address*

Zip/Post code*

Bank code*

City/ Country*

Account Name*

Swift Code

IBAN

Bank Full Address*

Bank Name*

Account Number*

Zip/Postal Address*

City/ Country*

Bank name*

Swift/BIC*

IBAN*

Sort code*

Bank name*

Account no.*

Operator account ID*

Neteller e-mail*

The email should match the Neteller registered e-mail

Dafabet Username*

Dafabet Registered Email*

Skrill (MoneyBookers) E-mail*

The email should match the Skrill (MoneyBookers) registered e-mail

Account Name

Chain Type

USDT Wallet Address

Please make sure the wallet address you provide is correct. Dafabet will not be held accountable for wrongly provided wallet addresses that may result in fund losses.

Username*

Between 5-30 characters, Latin letters and numbers can be used

Password*

Between 8-30 character (both numeric and alphabetic characters)

Confirm Password*

Has to match Password

I have read and agree with the terms and conditions agreement* Click here to read the terms and conditions agreement