Forename (for us to contact you): Surname (for us to contact you): Desired username Bewtween 8 & 24 characters:

Password (minmum 8 characters): Enter your password again: Email address Must be a real email address: Confirm your email address:

Please take care when entering these details, they will be used when sending cheques to you. We will also required your account name you'd like the cheques made out to, this will be enteted on the next page.

House number / name, and street: Area / Region / County / City / Town: Country: Postcode:

Please enter some basic details for your lottery players to know who they are buying tickets for. Note: your affiliate name should the same name as the account name you'd like us to make your cheques payable to.

Affiliate Name:

Affiliate Description (max. 100 words):

I agree to the Terms & Conditions

Click 'Complete Registration' to confirm all of the information you have entered and become a member of The Sports Lottery. You will recieve a confirmation email, that will contain a link which will confirm your email address to us and activate your membership.

Thank you for joining The Sports Lottery as an affiliate.