Affiliate Signup Form

Affiliate Program Signup Form

Join D&A Network's affiliate program and start earning up to 15% commission on every sale!

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Country *

Date of Birth *

Platform Information

Website URL

Instagram Handle

Instagram Followers

YouTube Channel

YouTube Subscribers

Facebook Page

Facebook Followers

TikTok Handle

TikTok Followers

Other Social Media Platforms

Audience & Marketing

Monthly Website/Social Media Traffic *

Content Niche/Category *

Target Audience Demographics *

Marketing Experience

Previous Affiliate Marketing Experience *

Other Affiliate Programs You're Part Of

How do you plan to promote D&A Network products? *

Expected Monthly Sales Volume *

Payment Information

PAN Number (for Indian residents) *

GST Number (if applicable)

Bank Account Details *

Preferred Payment Method *

Additional Information

How did you hear about our affiliate program?

Additional Comments or Questions

I have read and agree to the Affiliate Terms & Conditions *

I agree to receive marketing communications and program updates from D&A Network

📋 Application Process

Complete and submit this form
We review your application within 2-3 business days
Receive approval notification via email
Access your affiliate dashboard and start earning

💰 Commission Structure

Bronze: 5% (₹0-25K)

Silver: 8% (₹25K-75K)

Gold: 12% (₹75K-150K)

Platinum: 15% (₹150K+)

Plus monthly bonuses for Silver tier and above!

Need Help?

Questions about the signup process?

📧 affiliates@dnanetwork.shop

🕒 Mon-Fri, 9 AM - 6 PM IST

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Affiliate Signup Form

Language

Country/region

Language

Affiliate Signup Form

Personal Information

Platform Information

Audience & Marketing

Marketing Experience

Payment Information

Additional Information

📋 Application Process

💰 Commission Structure

Need Help?