Become a Cash Genie Affiliate

Please complete the form below. We will then review your application and be in touch shortly.

Company Address1
Primary Website
(eg. www.xxx.com) 		Address2
Email Postcode
Phone County
Contact Person Bank
Username for Login
(Min 6 Characters) 		Branch
Password for Login
(Min 8 Characters)		 Account Number
Payment Method Transfer Cheque Sort Code