Mad Over Poker Affiliation Form
Name *
First Name
Your answer
Last Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Your MOP username ? *
Your answer
Preferred Login name as affiliate *
Your answer
Do you have affiliation with other Poker Sites as well? If yes, please mention. *
Required
What sort of games would interest your network *
How many Poker players do you have in your network ? *
Which stakes your player network prefer to play on? *
Required
What sort of offer are you looking at *
Comments/feedback
Your answer
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