Referral Partner Support:
Email: [email protected]

Referral Partner Payouts

Bank Account & W9 Info

Please use the same contact information used to signup your referral partner account with ACA.

Referral Partner ID (Username) *

First Name *

Last Name *

Phone *

Email *

ACH Bank Account Information

Bank Name *

Account Type *

Account Holder Name *

Legal name of individual or entity on the bank account. “John A. Smith” or “Smith Marketing LLC”

Bank Routing Number (ABA) *

9-digit U.S. bank routing number.

Bank Account Number *

Bank account number (3–17 digits).

Confirm Bank Account Number *

Bank account number (3–17 digits).

Address

Street Address *

City *

State *

Country *

Postal Code *

W9 Taxpayer Information

Tax Classification *

Legal Name or Company Name *

Must match the IRS taxpayer record (for SSN or EIN). “John Smith” or “Smith Marketing LLC”

Business Name / DBA (if different)

For businesses or sole proprietors using a DBA.

SSN OR EIN *

Referral Partner Acknowledgement *

I certify that all information provided above is true and correct. I authorize American Commerce Association to deposit affiliate payments directly to the bank account listed via ACH credit. I understand that providing false or incomplete information may result in delayed or canceled payouts. This serves as my electronic signature and consent under the E-SIGN Act.

Referral Partner Signature: By Signing below I agree to comply with the agree to the American Commerce Association Referral Partner Agreement linked above. *

Clear

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Referral Partner Support:Email: [email protected]

Referral Partner Payouts

Bank Account & W9 Info

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Referral Partner Support:
Email: [email protected]