become affiliate, sell travel insurance online

Affiliate Registration

4 Easy Step to Complete Your Affiliate Registration:
Boost your earnings and increase the quality of your travel insurance offerings by joining the AtlasAssist Affiliate Program. Once you complete the form below you will receive your Affiliate Welcome email with your Login Information.

(Field with * are required fields)

Account Information :
 
 
Company Name:
Type of Company:
DBA:
First Name: *
 
Last Name: *
 
Address: *
 
City: *
 
State: *
 
Zip Code: *
 
Country: *
Tax Number or SSN:*
 
Phone Number:*
 
Fax Number:
Website:
 
 
Login nformation:
 
Email: *
  This will also be used as your user name.
Password: *
 
Confirm Password:
 
  
Account & Login Information:

Earn extra income for your company! Complete our three step process and get started now!

Step 1

Please read and complete the necessary information and continue to the next section. All information provided will remain confidential and will not be passed to a third party.

Your email address will be used as your user login name to your affiliate account. Your new affiliate account allows you to monitor sales, payments, and customize your links.

When step 1 is complete please click next and proceed to Step 2.


 

International Affiliates

 


Please complete our online contact form and a representative will contact you.