Affiliate Intake Form Affiliate Intake Form Download this ACH Authorization Form, and upload it at the bottom. Download this W9 Form, and upload it at the bottom.First Name*Last Name*EFINIf you have your ownPTIN*Business Email* Business Name*Business Address* Street Address City State / Province / Region ZIP / Postal Code Mailing Address*PO Boxes will not be accepted Street Address City State / Province / Region ZIP / Postal Code Business Owner Address* Street Address City State / Province / Region ZIP / Postal Code Business Owner SSN*Business Owner Driver License #*Business Owner Driver License State*Business Owner Date of Birth*Business Owner Phone #*Upload the ACH Form*Upload the W9 Form*Upload Your ID*
