Signing up for XmemberCash is simple and takes only a couple minutes. Fill out the form below, and your account will be reviewed for acceptance shortly (we review account applications multiple times per day on weekdays, and once per day on weekends).

* - indicates required field.   
 Login Information
Note: Username must start with a letter, and may contain letters, numbers, and underscores. Password is case-sensitive. Both the username and password must be less than 15 characters long.
Username* (max 15 Characters)
Password* (max 15 Characters)
Verify Password* (max 15 Characters)

 Website Information
This site will be reviewed for acceptance into the Affiliate program. If no site exists, the application will be declined.
Website Name*
Website URL*

 Contact Information
Important: Your email will be used for business purposes only. See our Privacy policy for further details.
Email Address*
Contact Name*
MSN Email Address
ICQ #
Telephone Number
Checks Payable To*
Address*
City*
State / Province*
Zip Code*
Country*

 Funds Distribution
Note: You may choose to have your checks sent when you reach minimum payout of $50.00 USD or higher. There is no charge for wire transfers. Our minimum payout for checks and Epassporte is $50.00 USD, and for wire transfer it is $300.00 USD. If in any given pay period, your account does not reach the minimum payout for your chosen payment method, your revenue will be kept in withholding until your account accrues the necessary funds for payment.
Account Type $10 USD Pay Per Signup
60% Revenue Share
Minimum Payout
Desired Payout  Check (Min. $50.00 USD)
 Wire Transfer *Fields Below Req'd.
       (No fee for wire transfer)
 Epassporte (Min. $50.00 USD)
Epassporte ID*
Bank Name*
Bank Branch*
Bank Address*
Bank Telephone*
Bank Routing
ABA/Swift*
Bank Acct. Number*
Beneficiary Name*
Beneficiary Address*
Beneficiary Telephone*

 Legal Information
Date of Birth*

 Publisher Service Agreement
I agree to the conditions outlined in the terms of service agreement
Digital Signature*
Enter your name in the box above to digitally 'sign' the form.



 
USERNAME: PASSWORD:
 
Banner Ads
Free Hosted Galleries
• Photo Galleries
• Movie Galleries
Full Page Ads
Half Page Ads
Free Content
Linking Code
Webmaster Referral
 
YOUR NAME: EMAIL ADDRESS:
© XMEMBERCASH.com 2005. All Rights Reserved.