Affiliate Online Application Form

To become an affiliate is very simple and you can start earning referral fees almost immediately. Please complete the form below and we promise to assess your application within 2 working days.

If your application is successful we will send you:
 
  • The 1cover/Ski-insurance.com.au welcome pack
  • A choice of banners with the relevant HTML code for liking to our site
  • Your unique Affiliate Identification Code to correctly allocate sales to you

Application to be an affiliate of 1cover/Ski-insurance.com.au

Company Details
Company Name: 
Address: 
Your website URL: 
Contact Details
Contact Name: 
Main Phone: 
Mobile Phone: 
Fax: 
E-mail address: 
Which account would you like your affiliate payments made to?
Bank Name: 
BSB: 
Account Number: 
ABN Number: 

Please ensure you have thoroughly read and understood the affiliate program operating agreement

By submitting your application to 1cover Pty Limited you are agreeing, if accepted onto the program, to be bound by the terms and conditions of the 1cover Pty Limited affiliate operating agreement.