Seal Application

Apply for a Seal

Application Form for Gambling Affiliate Portal Listing

"*" indicates required fields

Website Information:

Website Name*

Website URL*

Primary Niche*

e.g., Sports Betting, Casino, Poker, etc.

Target Markets (Country/Region)

Languages Supported*

Year Established

Contact Information

Owner’s Name

Email Address*

Phone Number

Business Address

Street Address City State / Province / Region ZIP / Postal Code Country

Description

Brief Description of Your Website

Billing Information:

Billing Name

Email Address*

Phone Number

Company's Name*

Registration/VAT Number*

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Yearly Renewal*

Price:

Do you have a promo code?

Total

Payment Type*

Credit Card

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Agree T&C*

I agree to the Terms & Conditions.

Agree*

I agree to pay the annual recurring fee of €99.

Accreditation Seal*

I confirm that I will display the accreditation seal on my website.

Subscribe Newsletter

I would like to subscribe to 3FAM newsletter

Name

This field is for validation purposes and should be left unchanged.

Complete The Form and submit it along with the annual recurring fee of