Wilco Radio Affiliate Programme

Affiliate Registration

Please use this form to register as a new affiliate partner with Wilco Radio.

Please complete all form fields accurately to ensure that we process your account details correctly, and that commission payments are not delayed.

Your name

Please complete all form fields accurately to ensure that we process your account details correctly, and that commission payments are not delayed.

* Required fields

ACCOUNT DETAILS

Your name

Email address *

Phone number *

Password *

Company name *

Street address *

City/Town *

County/State *

ZIP / Postcode *

Country *

NOTE: Please ensure that you double-check all the details before submitting your details to avoid payment delays to your account.