Affiliate application

Apply to the program

Most applications receive a decision within one business day.

Applicant details

Full name *

Email *

Phone *

Date of birth

Nationality

Country of residence *

City

Residential address

Primary distribution channel *

Primary website or profile URL

Projected monthly system sales

Projected monthly system leases

Years in trading / finance

Target client profile

Distribution strategy. Describe how you intend to introduce AEXONI systems to your clients or network. *

Other affiliate or referral programs you currently represent (if any)

If you are applying as a registered company, complete the fields below for tax and invoicing purposes.

Company name

Your position / role

Year founded

Tax / VAT number

Country of incorporation

Company address

Business website

How did you hear about AEXONI?

I have read and accept the AEXONI Risk Disclaimer and Affiliate Terms.