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Submitted URL: http://starlitesmileteam.com/
Effective URL: https://af.uppromote.com/starlite-smile/register
Submission: On February 09 via api from GB — Scanned from GB
Effective URL: https://af.uppromote.com/starlite-smile/register
Submission: On February 09 via api from GB — Scanned from GB
Form analysis 1 forms found in the DOM
POST https://af.uppromote.com/starlite-smile/register_aff
<form method="POST" class="register-form" id="register-form" action="https://af.uppromote.com/starlite-smile/register_aff" novalidate="novalidate">
<input type="hidden" name="_token" value="XVPF4VPCUiqUXY3ceJC5N1c7kYRePUb19EC2CjrH">
<input type="hidden" name="shop_id" value="">
<input type="hidden" name="program_id" value="97469">
<input type="hidden" name="marketplace_user_id" value="">
<input type="hidden" name="marketplace_affiliate_profile" value="">
<div class="form-group">
<label for="first_name" id="first_name_label" class="required">First Name</label>
<div class="">
<input type="text" name="first_name" id="first_name" value="" class="">
</div>
</div>
<div class="form-group">
<label for="last_name" id="last_name_label" class="required">Last Name</label>
<div class="">
<input type="text" name="last_name" id="last_name" value="" class="">
</div>
</div>
<div class="form-group">
<label for="email" id="email_label" class="required">Email</label>
<div class="">
<input type="text" name="email" id="email" value="" class="">
</div>
</div>
<div class="form-group">
<label for="password" id="password_label" class="required">Password</label>
<div class="">
<input type="password" name="password" id="password" value="">
</div>
</div>
<div class="form-group">
<label for="password_confirmation" id="password_confirmation_label" class="required">Confirm password</label>
<div class="">
<input type="password" name="password_confirmation" id="password_confirmation" value="">
</div>
</div>
<div class="form-group">
<label for="company" id="company_label" style="display: none;">Company</label>
<div class="" disabled="" style="display: none;">
<input type="text" name="company" id="company" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="address" id="address_label" style="display: none;">Address</label>
<div class="" disabled="" style="display: none;">
<input type="text" name="address" id="address" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="city" id="city_label" style="display: none;">City</label>
<div class="" disabled="" style="display: none;">
<input type="text" name="city" id="city" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="zipcode" id="zipcode_label" style="display: none;" class="required">Zip Code</label>
<div class="" disabled="" style="display: none;">
<input type="text" name="zipcode" id="zipcode" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="state" id="state_label" style="display: none;">State</label>
<div class="" disabled="" style="display: none;">
<input type="text" name="state" id="state" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="country" id="country_label" style="display: none;">Country</label>
<div class="" disabled="" style="display: none;">
<select class="form-control m-b" name="country" disabled="" style="display: none">
<option selected="" value="">--Select country</option>
<option value="AF">Afghanistan</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="BB">Barbados</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="BQ">British Antarctic Territory</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CT">Canton and Enderbury Islands</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</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 - Brazzaville</option>
<option value="CD">Congo - Kinshasa</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="CI">Côte d’Ivoire</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="NQ">Dronning Maud Land</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="ET">Ethiopia</option>
<option value="FK">Falkland Islands</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="FQ">French Southern and Antarctic 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="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong SAR China</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IQ">Iraq</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="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JT">Johnston Island</option>
<option value="JO">Jordan</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">Laos</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">Macau SAR China</option>
<option value="MK">Macedonia</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</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="FX">Metropolitan France</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MI">Midway Islands</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar [Burma]</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="AN">Netherlands Antilles</option>
<option value="NT">Neutral Zone</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="KP">North Korea</option>
<option value="VD">North Vietnam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PC">Pacific Islands Trust Territory</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territories</option>
<option value="PA">Panama</option>
<option value="PZ">Panama Canal Zone</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="YD">People's Democratic Republic of Yemen</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn Islands</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="RE">Réunion</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin</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="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="CS">Serbia and Montenegro</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="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</option>
<option value="ST">São Tomé and Príncipe</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</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="TT">Trinidad and Tobago</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="UM">U.S. Minor Outlying Islands</option>
<option value="PU">U.S. Miscellaneous Pacific Islands</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="SU">Union of Soviet Socialist Republics</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="ZZ">Unknown or Invalid Region</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="WK">Wake Island</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
<option value="AX">Åland Islands</option>
</select>
</div>
</div>
<div class="form-group">
<label for="phone" id="phone_label" style="display: none;">Phone</label>
<div class="" disabled="" style="display: none;">
<input type="text" name="phone" id="phone" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="website" id="website_label" style="display: none;">Website</label>
<div class=" input-group m-b " disabled="" style="display: none;">
<span class="input-group-addon">https://</span>
<input type="text" name="website" id="website" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="instagram" id="instagram_label" style="display: none;">Instagram</label>
<div class=" input-group m-b " disabled="" style="display: none;">
<span class="input-group-addon">@</span>
<input type="text" name="instagram" id="instagram" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="tiktok" id="tiktok_label" style="display: none;">TikTok</label>
<div class=" input-group m-b " disabled="" style="display: none;">
<span class="input-group-addon">@</span>
<input type="text" name="tiktok" id="tiktok" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="facebook" id="facebook_label" style="display: none;">Facebook</label>
<div class="" disabled="" style="display: none;">
<input type="text" name="facebook" id="facebook" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="twitter" id="twitter_label" style="display: none;">Twitter</label>
<div class=" input-group m-b " disabled="" style="display: none;">
<span class="input-group-addon">@</span>
<input type="text" name="twitter" id="twitter" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="youtube" id="youtube_label" style="display: none;">Youtube channel</label>
<div class=" input-group m-b " disabled="" style="display: none;">
<span class="input-group-addon">https://youtube.com/channel/</span>
<input type="text" name="youtube" id="youtube" value="" disabled="" style="display: none;" class="">
</div>
</div>
<div class="form-group">
<label for="personal_detail" id="personal_detail_label" style="display: none;">Personal detail</label>
<div class="" disabled="" style="display: none;">
<textarea style="width: 100%; height: 100px;" name="personal_detail" id="personal_detail" disabled="" class="form-control"></textarea>
</div>
</div>
<div class="form-group">
<label for="payment_method" id="payment_method_label" class="form-label-line form-label-select " disabled="" style="display: none;">Payment method</label>
<div disabled="" style="display: none;">
<select class="form-control" name="payment_method" id="payment_method" style="padding: 8px 16px">
<option value="none" selected="">No payment method set </option>
<option value="paypal">Paypal</option>
</select>
</div>
</div>
<div class="payment-infor-container"></div>
<div class="g-recaptcha" id="g-recaptcha" data-sitekey="6LcfFqkaAAAAAODkHHT2DLE7UBeSbf7kVCdBkTQE" style="margin-bottom: 20px; display: block; ">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.recaptcha.net/recaptcha/api2/anchor?ar=1&k=6LcfFqkaAAAAAODkHHT2DLE7UBeSbf7kVCdBkTQE&co=aHR0cHM6Ly9hZi51cHByb21vdGUuY29tOjQ0Mw..&hl=en&v=gEr-ODersURoIfof1hiDm7R5&size=normal&cb=6d2t1hdzrs0r"
width="304" height="78" role="presentation" name="a-11gdc2r0nom9" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<div class="form-submit" style="margin-bottom: 20px;">
<button type="submit" class="submit" id="submit" name="submit" data-original-text="JOIN " data-loading-text="<i class='fa fa-spinner fa-spin '></i>"> JOIN </button>
</div>
</form>Text Content
STARLITE SMILE Join our affiliate program! Powered by Translate Login JOIN OUR AFFILIATE PROGRAM BENEFITS Cookie days 30 days Commission type Percent Of Sale Commission amount 15.00% Additional terms You will get 15% commission on total referral sales when a customer makes a purchase through your affiliate link or use your coupon code. First Name Last Name Email Password Confirm password Company Address City Zip Code State Country --Select country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Antarctic Territory British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canton and Enderbury Islands Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos [Keeling] Islands Colombia Comoros Congo - Brazzaville Congo - Kinshasa Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Côte d’Ivoire Denmark Djibouti Dominica Dominican Republic Dronning Maud Land Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories French Southern and Antarctic Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Johnston Island Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau SAR China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Metropolitan France Mexico Micronesia Midway Islands Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar [Burma] Namibia Nauru Nepal Netherlands Netherlands Antilles Neutral Zone New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Vietnam Northern Mariana Islands Norway Oman Pacific Islands Trust Territory Pakistan Palau Palestinian Territories Panama Panama Canal Zone Papua New Guinea Paraguay People's Democratic Republic of Yemen Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria São Tomé and Príncipe Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands U.S. Miscellaneous Pacific Islands U.S. Virgin Islands Uganda Ukraine Union of Soviet Socialist Republics United Arab Emirates United Kingdom United States Unknown or Invalid Region Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Phone Website https:// Instagram @ TikTok @ Facebook Twitter @ Youtube channel https://youtube.com/channel/ Personal detail Payment method No payment method set Paypal JOIN Paypal email Status Checking Savings ×Close COMMISSION DETAILS Level Minimum order value Commission value 1 $0 10% Close ×Close TERMS AND CONDITIONS Close ×Close PRIVACY POLICY Close ORIGINAL TEXT Contribute a better translation --------------------------------------------------------------------------------