Please wait...
Loading...
Join the Lotto Chimp affiliate program, managed by the Veriform Group.
Simply complete the form below and one of our marketing team with be in touch to begin the approval process.
Company Name
*
Registered Address
*
Country
*
Registration Number
*
Contact First Name
*
Contact Last Name
*
Contact Email Address
*
Contact Phone
*
Contact Skype
*
Which GEO's do you cover?
*
How do you plan to drive traffic to the campaign/offer?
*
Do you directly generate the traffic or are you a network or broker?
*
How did you hear about our campaign/offer?
*
Are you happy to provide example creatives if needed (i.e. ad images & ad copy)?
*
Yes
No
Are you happy to sign our standard SLA & our standard NDA?
*
Yes
No
Submit Application
Please correct the errors
Thank you.
Someone from our affiliate team will be in touch soon.
