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Sample Affiliate Portal

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[Sample Portal]

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My Affiliate Information

Company Name:
Contact Name:
Mailing Address:
City, State Zip:
Phone:
Email Address:

Simpson Sales, LLC
Bart Simpson
123 Main St, Suite #23
Springfield, IL 60123
815-123-4567
[email protected]

Effective Date:
Renewal Date:

Pay Annual Fee
using PayPal:

My Group IDs

Printed Cards:
Internet Link:

EDC3456
EDC3276

Commission Structure:

Active Terms & Conditions

Monthly
Payable
Claims

Payout Per Claim

1 or more

$0.50

08/01/2014
08/31/2015

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Inactive - For demo purposes only.

Refer-A-Friend - Earn $25

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Need cash now?
Refer a friend that becomes an affiliate and we’ll pay you $25!

Take advantage of this
Win/Win offer today.

My Reports

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Inactive - For demo purposes only.

My Drug Card
WEB Link:

http://206.135.51.247/Index.aspx?sGUI=4b239d2d-b927-42c9-8f6b-bbbd0d1ab9d9&GID=EDC3276

Give your link out to everyone you know. Have local businesses use it for their employees. You get credit for all prescriptions filled using the cards this link provides.

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Return Home

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Disclosures: This discount plan is NOT insurance or a Medicare prescription drug plan. Members are obligated to pay 100% of the prescription cost to the pharmacy at the point of sale and the plan does not pay pharmacies for prescription drugs provided to members. The plan provides prescription drug discounts to members at participating pharmacies only. Drug prices fluctuate frequently and the plan's pricing tool is for informational purposes only. No enrollment or periodic fees apply for drug card program.

Copyright 2006 - 2014 - KLIX, LLC, PMB 180, 558 E. Castle Pines Pkwy - Suite B4, Castle Rock, CO 80108-4608   Phone - (877) 891-2198