Applicant Information & Brand Affiliate Agreement To become a Brand Partner you have to fill in your information below and agree to our brand partner agreement. SPONSOR INFORMATION Sponsoring Brand Partner Please enter the Name of the introducing Brand PartnerENTER YOUR APPLICANT INFORMATIONSelect an Account Type* Individual Brand Affiliate Account (If you wish to sign up for a personal account (may include one additional applicant).) Company Brand Affiliate Account (If you wish to sign up your partnership or business for a Brand Affiliate account, select this option. *Requires a VAT number.) Gender*FemaleMaleDiversYour Name* First Last Date of Birth* DD slash MM slash YYYY Place of Birth* Name of the Company* VAT No (NLXXXXXXXXXBXX)* KvK-number* Address* Address Line 1 Address Line 2 Town/City Post Code (1234 AB) Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Mobile Phone* Please also add Your Country Code before youre phone number — for example: +31 xxxxxxxxx CREATE USERNAME AND PASSWORDUsername* For Referrals to mention and to login for you.Email Address (to Login & reset your password)* Password* Enter Password Confirm Password Strength indicator PayPal Email for Payout If you have got an PayPal Account, you will receive payouts to this Email.Policies & Procedures BRAND PARTNER AGREEMENT (BPA) IMPORTANT CONTRACT INFORMATION – PLEASE READ To become a 10KATE Brand Partner, you must agree to all the terms and conditions set out in the BPA, which will be sent to you after submitting your application. The BPA sets out your rights and obligations as a Brand Partner of 10KATE. The BPA outlines all aspects of the sales productivity and the compensation process. Please read carefully these documents in their entirety before proceeding. You may terminate it at any time by sending a signed written notice of termination to 10KATE. Consent* I have reviewed and understand the Privacy Notice, the Brand Affiliate Compensation Summary and the Product Return Policy.*PROMOTIONAL EMAILS AND SMS I would like to receive promotional emails. I would like to receive promotional SMS. CommentsThis field is for validation purposes and should be left unchanged.