JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ATOMICON 2021 | Become an Affiliate
Since tickets are sold through Eventbrite, you'll be assigned a tracking link, which tracks purchases that came from your account.
After the event you'll be paid £15 for every person who purchases on your link.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Your Email
*
Your answer
Your Paypal Email (where payments will be sent)
*
Your answer
What would you like your tracking code to be? This could be your name, business name, or community name. (Note: it will be all lowercase and all one word)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Andrew and Pete.
Report Abuse
Forms
