To register as a LuxSci Affiliate, please enter your name, address,
and email address below. Your email address will be your login. The
"PayPal Email Address" is not required, but if you have one, we can send
you commissions via PayPal instead of via check.
Note that we can only send commission checks to addresses in the U.S.A.
to the terms and conditions of the
affiliate program and
Please type the text seen in the image, below, into the "Security Code" box.
The security code is the text that
you see in the image, above. Use of this code helps us prevent abuse of this
form by automated programs.