ui.awin.com
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23.36.162.133
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URL:
https://ui.awin.com/publisher-signup/us/awin/step1/payment/fail?orderkey=awinltd%5eawinusd%5ea38f70f5-cfd1-4c04-9fab...
Submission: On December 13 via api from US — Scanned from DE
Submission: On December 13 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form novalidate="" class="form-horizontal ng-untouched ng-pristine ng-invalid"><router-outlet></router-outlet><app-step1><!---->
<div class="ng-untouched ng-pristine ng-invalid">
<div formgroupname="step1" class="ng-untouched ng-pristine ng-invalid">
<div class="form-group"><label class="control-label col-lg-4 col-md-4 col-sm-3 col-xs-12">Company Name</label>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12"><input type="text" id="companyName" formcontrolname="companyName" autocomplete="organization" apptriminput="" class="form-control ng-untouched ng-pristine ng-invalid"><!----><!----><!---->
</div><span hidden="">If your Publisher business is a registered company, please enter the name of that company here. If not, enter the name you would like your business to be referred to as, e.g. the name of one of your websites.</span>
</div>
<div class="form-group"><label class="control-label col-lg-4 col-md-4 col-sm-3 col-xs-12">Tax Residency</label>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12"><select id="taxResidency" autocomplete="country-name" formcontrolname="taxResidency" class="form-control ng-untouched ng-pristine ng-invalid">
<option value="" disabled=""></option>
<option value="AL">Albania </option>
<option value="DZ">Algeria </option>
<option value="AS">American Samoa </option>
<option value="AD">Andorra </option>
<option value="AO">Angola </option>
<option value="AI">Anguilla </option>
<option value="AQ">Antarctica </option>
<option value="AG">Antigua and Barbuda </option>
<option value="AR">Argentina </option>
<option value="AM">Armenia </option>
<option value="AW">Aruba </option>
<option value="AU">Australia </option>
<option value="AT">Austria </option>
<option value="AZ">Azerbaijan </option>
<option value="BS">Bahamas </option>
<option value="BH">Bahrain </option>
<option value="BD">Bangladesh </option>
<option value="BY">Belarus </option>
<option value="BE">Belgium </option>
<option value="BZ">Belize </option>
<option value="BJ">Benin </option>
<option value="BM">Bermuda </option>
<option value="BT">Bhutan </option>
<option value="BO">Bolivia </option>
<option value="BA">Bosnia and Herzegovina </option>
<option value="BW">Botswana </option>
<option value="BV">Bouvet Island </option>
<option value="BR">Brazil </option>
<option value="IO">British Indian Ocean Territory </option>
<option value="BN">Brunei Darussalam </option>
<option value="BG">Bulgaria </option>
<option value="BI">Burundi </option>
<option value="CM">Cameroon </option>
<option value="CA">Canada </option>
<option value="CV">Cape Verde </option>
<option value="CF">Central African Republic </option>
<option value="TD">Chad </option>
<option value="CL">Chile </option>
<option value="CN">China </option>
<option value="CX">Christmas Island </option>
<option value="CC">Cocos (Keeling) Islands </option>
<option value="CO">Colombia </option>
<option value="KM">Comoros </option>
<option value="CG">Congo </option>
<option value="CK">Cook Islands </option>
<option value="CR">Costa Rica </option>
<option value="CI">Cote D'Ivoire </option>
<option value="HR">Croatia </option>
<option value="CY">Cyprus </option>
<option value="CZ">Czech Republic </option>
<option value="DK">Denmark </option>
<option value="DJ">Djibouti </option>
<option value="DM">Dominica </option>
<option value="DO">Dominican Republic </option>
<option value="EC">Ecuador </option>
<option value="EG">Egypt </option>
<option value="SV">El Salvador </option>
<option value="GQ">Equatorial Guinea </option>
<option value="ER">Eritrea </option>
<option value="EE">Estonia </option>
<option value="SZ">Eswatini </option>
<option value="ET">Ethiopia </option>
<option value="FK">Falkland Islands (Malvinas) </option>
<option value="FO">Faroe Islands </option>
<option value="FJ">Fiji </option>
<option value="FI">Finland </option>
<option value="FR">France </option>
<option value="GF">French Guiana </option>
<option value="PF">French Polynesia </option>
<option value="TF">French Southern Territories </option>
<option value="GA">Gabon </option>
<option value="GM">Gambia </option>
<option value="GE">Georgia </option>
<option value="DE">Germany </option>
<option value="GH">Ghana </option>
<option value="GI">Gibraltar </option>
<option value="GR">Greece </option>
<option value="GL">Greenland </option>
<option value="GD">Grenada </option>
<option value="GP">Guadeloupe </option>
<option value="GU">Guam </option>
<option value="GT">Guatemala </option>
<option value="GG">Guernsey </option>
<option value="GN">Guinea </option>
<option value="GW">Guinea-Bissau </option>
<option value="GY">Guyana </option>
<option value="HM">Heard Island and McDonald Islands </option>
<option value="VA">Holy See (Vatican City State) </option>
<option value="HN">Honduras </option>
<option value="HK">Hong Kong </option>
<option value="HU">Hungary </option>
<option value="IS">Iceland </option>
<option value="IN">India </option>
<option value="ID">Indonesia </option>
<option value="IE">Ireland </option>
<option value="IM">Isle of Man </option>
<option value="IL">Israel </option>
<option value="IT">Italy </option>
<option value="JP">Japan </option>
<option value="JE">Jersey </option>
<option value="KZ">Kazakhstan </option>
<option value="KE">Kenya </option>
<option value="KI">Kiribati </option>
<option value="KW">Kuwait </option>
<option value="KG">Kyrgyzstan </option>
<option value="LA">Lao People's Democratic Republic </option>
<option value="LV">Latvia </option>
<option value="LB">Lebanon </option>
<option value="LS">Lesotho </option>
<option value="LR">Liberia </option>
<option value="LY">Libya </option>
<option value="LI">Liechtenstein </option>
<option value="LT">Lithuania </option>
<option value="LU">Luxembourg </option>
<option value="MO">Macao </option>
<option value="MG">Madagascar </option>
<option value="MW">Malawi </option>
<option value="MY">Malaysia </option>
<option value="MV">Maldives </option>
<option value="MT">Malta </option>
<option value="MH">Marshall Islands </option>
<option value="MQ">Martinique </option>
<option value="MR">Mauritania </option>
<option value="MU">Mauritius </option>
<option value="YT">Mayotte </option>
<option value="MX">Mexico </option>
<option value="FM">Micronesia, Federated States of </option>
<option value="MD">Moldova, Republic of </option>
<option value="MC">Monaco </option>
<option value="MN">Mongolia </option>
<option value="ME">Montenegro </option>
<option value="MS">Montserrat </option>
<option value="NA">Namibia </option>
<option value="NR">Nauru </option>
<option value="NP">Nepal </option>
<option value="NL">Netherlands </option>
<option value="NC">New Caledonia </option>
<option value="NZ">New Zealand </option>
<option value="NI">Nicaragua </option>
<option value="NE">Niger </option>
<option value="NG">Nigeria </option>
<option value="NU">Niue </option>
<option value="NF">Norfolk Island </option>
<option value="MK">North Macedonia, Republic of </option>
<option value="MP">Northern Mariana Islands </option>
<option value="NO">Norway </option>
<option value="OM">Oman </option>
<option value="PK">Pakistan </option>
<option value="PW">Palau </option>
<option value="PG">Papua New Guinea </option>
<option value="PY">Paraguay </option>
<option value="PE">Peru </option>
<option value="PN">Pitcairn </option>
<option value="PL">Poland </option>
<option value="PT">Portugal </option>
<option value="PR">Puerto Rico </option>
<option value="QA">Qatar </option>
<option value="RE">Reunion </option>
<option value="RO">Romania </option>
<option value="RU">Russian Federation </option>
<option value="RW">Rwanda </option>
<option value="SH">Saint Helena </option>
<option value="KN">Saint Kitts and Nevis </option>
<option value="LC">Saint Lucia </option>
<option value="PM">Saint Pierre and Miquelon </option>
<option value="VC">Saint Vincent and the Grenadines </option>
<option value="WS">Samoa </option>
<option value="SM">San Marino </option>
<option value="ST">Sao Tome and Principe </option>
<option value="SA">Saudi Arabia </option>
<option value="RS">Serbia </option>
<option value="SC">Seychelles </option>
<option value="SL">Sierra Leone </option>
<option value="SG">Singapore </option>
<option value="SK">Slovakia </option>
<option value="SI">Slovenia </option>
<option value="SB">Solomon Islands </option>
<option value="SO">Somalia </option>
<option value="ZA">South Africa </option>
<option value="GS">South Georgia and the South Sandwich Islands </option>
<option value="KR">South Korea </option>
<option value="ES">Spain </option>
<option value="LK">Sri Lanka </option>
<option value="PS">State of Palestine </option>
<option value="SD">Sudan </option>
<option value="SR">Suriname </option>
<option value="SJ">Svalbard and Jan Mayen </option>
<option value="SE">Sweden </option>
<option value="CH">Switzerland </option>
<option value="TW">Taiwan, Province of China </option>
<option value="TJ">Tajikistan </option>
<option value="TH">Thailand </option>
<option value="TL">Timor-Leste </option>
<option value="TG">Togo </option>
<option value="TK">Tokelau </option>
<option value="TO">Tonga </option>
<option value="TN">Tunisia </option>
<option value="TR">Turkey </option>
<option value="TM">Turkmenistan </option>
<option value="TC">Turks and Caicos Islands </option>
<option value="TV">Tuvalu </option>
<option value="UA">Ukraine </option>
<option value="AE">United Arab Emirates </option>
<option value="GB">United Kingdom </option>
<option value="UM">United States Minor Outlying Islands </option>
<option value="US">United States of America </option>
<option value="UY">Uruguay </option>
<option value="UZ">Uzbekistan </option>
<option value="VE">Venezuela </option>
<option value="VN">Vietnam </option>
<option value="VG">Virgin Islands, British </option>
<option value="VI">Virgin Islands, U.S. </option>
<option value="WF">Wallis and Futuna </option>
<option value="EH">Western Sahara </option>
<option value="ZM">Zambia </option>
<option value="ZW">Zimbabwe </option><!---->
</select><!----><!----></div>
</div><!----><!---->
<div class="col-sm-10 col-sm-offset-1">
<hr>
</div>
<div class="form-group"><label class="control-label col-lg-4 col-md-4 col-sm-3 col-xs-12">First Name</label>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12"><input type="text" id="firstName" apptriminput="" formcontrolname="firstName" autocomplete="given-name" class="form-control ng-untouched ng-pristine" disabled=""><!----><!----><!----></div>
</div>
<div class="form-group"><label class="control-label col-lg-4 col-md-4 col-sm-3 col-xs-12">Last Name</label>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12"><input type="text" id="lastName" apptriminput="" formcontrolname="lastName" autocomplete="family-name" class="form-control ng-untouched ng-pristine" disabled=""><!----><!----><!----></div>
</div>
<div class="form-group"><label class="control-label col-lg-4 col-md-4 col-sm-3 col-xs-12">E-mail</label>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12"><input inputmode="email" type="email" id="email" autocomplete="email" formcontrolname="email" class="form-control ng-untouched ng-pristine"
disabled=""><!----><!----><!----><!----><!----><!----></div><span hidden="">This will be the email address you use to activate and log in to your account.</span>
</div>
<div class="form-group"><label class="control-label col-lg-4 col-md-4 col-sm-3 col-xs-12">Confirm Email</label>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12"><input type="email" inputmode="email" autocomplete="email" id="emailConfirmation" formcontrolname="emailConfirmation" class="form-control ng-untouched ng-pristine" disabled=""><!----><!---->
</div>
</div>
<div class="form-group"><label class="control-label col-lg-4 col-md-4 col-sm-3 col-xs-12">Password</label>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12">
<div category="Security" label="showPasswordToggle" class="input-group input-group-transparent"><input type="password" apppasswordtoggle="Show Password" titlehide="Hide Password" id="password" autocomplete="new-password"
formcontrolname="password" class="form-control ng-untouched ng-pristine" disabled=""><!----><span class="input-group-addon disabled"><a><i class="fa-regular fa-eye fa-fw text-muted"></i></a></span></div><!---->
</div><span hidden="">Please choose a password that has at least 12 characters and hasn’t been used before. We recommend using a short phrase because they’re more secure and easier to remember.</span>
</div><!---->
<div class="form-group"><label class="control-label col-lg-4 col-md-4 col-sm-3 col-xs-12">Confirm Password</label>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12">
<div category="Security" label="showPasswordToggle" class="input-group input-group-transparent"><input type="password" apppasswordtoggle="Show Password" titlehide="Hide Password" id="confirmPassword" autocomplete="new-password"
formcontrolname="confirmPassword" class="form-control ng-untouched ng-pristine" disabled=""><span class="input-group-addon disabled"><a><i class="fa-regular fa-eye fa-fw text-muted"></i></a></span></div><!----><!---->
</div>
</div><!---->
</div>
</div>
</app-step1><!---->
<div class="col-lg-8 col-sm-9 text-right"><!----><button type="button" id="next" class="btn btn-default">Next Step</button><!----><!----></div>
</form>Text Content
* 1 ACCOUNT SETUP * 2 PROMOTIONAL TYPE * 3 PROMOTIONAL SPACE * 4 VERIFICATION As part of our commitment to our partners, we take fraud and compliance seriously. To help us facilitate high standards, publishers are required to provide details on their promotional spaces. We also require a small registration deposit which will be refunded in the first commission payment. Publishers must be 18 or older to join the Awin network. Due to the current international sanctions imposed upon Russia, Awin has suspended all commission payouts for publishers with Russian tax residency or a Russian bank account. Publishers that are affected by this change can still sign up to Awin, partner with advertisers, and access all other account features. Company Name If your Publisher business is a registered company, please enter the name of that company here. If not, enter the name you would like your business to be referred to as, e.g. the name of one of your websites. Tax Residency Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burundi Cameroon Canada Cape Verde Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Ireland Isle of Man Israel Italy Japan Jersey Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia, Republic of Northern Mariana Islands Norway Oman Pakistan Palau Papua New Guinea Paraguay Peru Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka State of Palestine Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Taiwan, Province of China Tajikistan Thailand Timor-Leste Togo Tokelau Tonga Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands United States of America Uruguay Uzbekistan Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Zambia Zimbabwe -------------------------------------------------------------------------------- First Name Last Name E-mail This will be the email address you use to activate and log in to your account. Confirm Email Password Please choose a password that has at least 12 characters and hasn’t been used before. We recommend using a short phrase because they’re more secure and easier to remember. Confirm Password Next Step * Dansk * Deutsch * English (UK) * English (US) * Español * Français * Italiano * Nederlands * Norsk * Polski * Português (Brasil) * Svenska Privacy Policy | User Agreement | © AWIN LTD 2023