Affiliate Program Agreement

First Name *

Last Name *

Cell Phone *

* If you have not already done so, text the word AFFILIATE to 208-291-6748 to enroll in text updates for training,

reminders, invites and onboarding support

Email *

Address

Street Address *

City *

State *

Country

Postal code *

* I understand and agree that by submitting my information above, I am officially joining Valued Merchant Services as an Independent Contractor / 1099 Affiliate. I also give Valued Merchant Services permission to contact me via email, phone and text messages (You can opt-out at anytime).

Contact Permission Initials *

Initial In Box Above

Are You Ready To Officially Join Our Affiliate Program? *

Yes

Date of birth *

Upload Driver License, Photo ID or Passport *

Upload SSN Card or Tax ID Doc *

Direct Deposit Bank Name *

Routing Number *

Bank Account Number *

* I consent to a background check conducted by VMS or an authorized third party

Background Check Initials *

Initial In Box Above

* Initial & Sign Below To Confirm You Understand And Agree To All Of The Valued Merchant Services Independent Contractor Affiliate Program Agreement, Compensation Plan, Promotions & Incentives

VMS SALES AGENT AGREEMENT & COMPENSATION PLAN

Affiliate Agreement Initials *

Initial In Box Above

Affiliate Signature *

Clear

By checking this box, I consent to receive messages related to my agreement, account, orders, or services I have requested. These messages may include appointment reminders, confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

IMPORTANT!

ADD @valuedmerchants.com as a saved contact and to your safe senders list in your email account!

ADD Chris Del Grande 208-243-0818 as a contact on your mobile device!

This will ensure our phone/text & email communications get to you and do not end up in your spam folder!

By Clicking The Join Our Team Button

You Acknowledge & Understand The Compensation For Our

Affiliates Includes:

Weekly Commissions, Monthly and Annual Bonuses, Lifetime Monthly Residual Income and Other Performance Incentives

IT DOES NOT HAVE: Salary, Hourly, Base Pay, Draw or Health Benefits