AFFILIATE PROGRAM REGISTRATION FORM

ONLY ONE (1) MEMBERSHIP PER PERSON
AGREEMENT: I agree to the terms of use, privacy policy and policies and procedures for this enrollment as an Independent Affiliate of Nexxus. I understand that I can cancel at anytime by submitting a written request to customer support.

RETURN POLICY: I understand that if I am not completely satisfied with the quality and value of my service that I may cancel my service within the first 30 days and that I will be under no further financial obligation.
You have been referred by:  Nexxus University
Yes, I want to join and I agree to all the terms listed above.
CONTACT INFORMATION: Enter your name, email, mailing address and phone number.
First Name Last Name
Name:  
CompanyEnter your optional personal company name. 
Email:  
Mailing Address:  
City State / Province / Region
Postal Code Country
Phone:  
GCR Agent #:     (Used to verify title and upline.)
LOGON / PASSWORD: Enter a unique Logon name and Password to be used to access your secured system. Your logon and password will be emailed to you. Please keep your logon and password in a safe place. You can contact customer support if you need this information later.
Logon / Website Name:     (6 character minimum)
Password:     (6 character minimum, use only characters, numbers or punctuation)
All Affiliate Packages include the Affiliate Business System and the Afiliate Marketing System
BRONZE AFFILIATE PACKAGE: $9.95 mo.
"The History of Money" Course plus 100* Nexxus Coins ($1 processing fee - Total Billed: $10.95).
SILVER AFFILIATE PACKAGE: $24.95 mo.
All 3 Certification Courses plus 250* Nexxus Coins ($1 processing fee - Total Billed: $25.95).
GOLD AFFILIATE PACKAGE: $49.95 mo.
"Cryptocurrency Fundamentals" Certification plus 500* Nexxus Coins ($2 processing fee - Total Billed: $51.95).
(*number of Nexxus coins based on $0.01 current market price)
Your credit card will not be charged during the prelaunch period.
PAYMENT INFORMATION: Enter the method of payment for your purchase.
   
  Secure Payment
Yes, I agree to be billed monthly for the agreed upon services.