Adult Lounge

IMPORTANT: Ready to join AdultLounge? Complete the application below and click "JOIN". Required fields are denoted with a ( * ). Please note that in attempt to prevent fraud, we have a STRICT review policy in our AdultLounge Affiliate Program due to the new VISA/MASTERCARD regulations. We will NOT tolerate webmaster fraud, all new accounts will be manually approved. If you do not submit a working adult related URL, you will need to verify your means of traffic with our account managers. Sites that are hosted on free hosts service providers or related companies also will NOT be accepted. Keep in mind, we will be contacting each and every new affiliate partner via email or ICQ before approving, we try to verify ICQ numbers, phone numbers, etc... Once your application is approved you will receive a confirmation message that will provide you with further instructions on how to access your new account. We apologize for any inconvenience and hope you can understand why these steps/policies are necessary.

1. Website Information
Company *
Website URL *

2. Contact Information
Important: You will be required to respond to an email to activate your account so you must use a valid email address.
Email Address *
First name *
Last name *
Telephone Number *
ICQ Number

3. Payment Information

Beneficiary Name *

Address *

City *

State / Province *

Zip Code *

Country *

Tax ID / S.S. #
If US Resident

Payment methods:

Cheque Epassporte Wire

The following information needed if payed by Epassporte
Epassporte Email

The following information needed if payed by Wire
Account Number
SWIFT code
ABA code
Bank Name
Bank city
Bank Country

4. Funds Distribution
Minimum Payout	$

5. Login Information
User name *
Password *
Verify Password *
Note: Use alphanumeric and underscore (_) characters only. Limit: 6-10 characters.

By Clicking "Join" You State That You Have Read And Agree With The Terms And Conditions of Membership.