Sign up

Please complete this form to register for your 12BET affiliate account.

Fields marked * must be completed

01

Contact Information

First Name *

Last Name *

Email Address *

Verify Email Address *

Contact Number *

Skype

Facebook

Gender *

Male Female

02

Mailing Information

Address *

City *

Postcode/Zip *

Country *

03

Website Information

I have my own website *

Website URL *

I don’t have a website

04

Preference

Target Country *

Language *

Security Question *

Your Answer *

Validation *

05

Payment Information

Payment Method

12BET Player Account *

Username * (non-deposited account only)

I agree to the Terms & Conditions of 12BET Affiliate.