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Affiliate Application Form

Please fill in the form below. Red fields are required.
Agent Information
These information are important for payment
First Name contact person
Last Name
Company name to pay to company
Email
Address (line 1)
(line 2, optional)
Sub-district (Kwaeng/Tumbol)
District (Khet/Ampur)
Province
Postal code
Country
Phone
Fax
Tax ID. (please enter if you have)

Payment Options
Payment Type Cheque (to name/company on address above)
Bank Transfer

Bank Information (if you check on "transfer" in payment type above)
Bank
Branch
Account Type Current
Savings
Account Number

Please enter the text you see below








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Nine Web Co., Ltd. is a leading web hosting service provider in Thailand. We offer web hosting service, corporate email service and domain name registration service.
Nine Web is located at 100 Soi Patanakarn 54, Patanakarn Road, Suanluang, Bangkok 10250 Thailand, Tel: 0 2722 9080 Fax: 0 2722 7388 Email: info@nineweb.co.th