Affiliate Partner Information Form

1
Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
example@example.com
3
Affiliate Partner You Signed Up With* This field is required.Pick which partner you used, and double check you met the requirements of the offer...
UnderDog (1-Month) - (Deposit $10 + play in 1 contest)
Sleeper (1-Month) - (Deposit $10 or more)
Chalkboard Fantasy (1-Month) - (Deposit $10 or more)
Parlay Play (1-month) - (Deposit $10 + play through that $10)
4
Date You Signed Up For* This field is required.
Date
Month
Day
Year
5
Did You Meet The Requirements of the Promotional Offer?* This field is required.Usually you are REQUIRED to be a NEW player and to deposit the minimum and play in at LEAST 1-contest or place 1 bet, before you get credited your subscription time. Please make sure you met this requirement before filling out this form. The partner will tell us either way.
YESNO
6
Additional Information?If you have anything else you'd like for us to know, now's the time :) Some helpful things might be: Username you used to sign up, Date/Time you made Deposit + Played Through (if required).
Should be Empty: