Republic Digital Affiliate Enrollment Form Republic Digital Affiliate Enrollment Form This form is for current Republic Digital Affiliates who will be enrolling into the EMP Shield Affiliate program. See below for enrollment instructions. Name * First Last Name * Last Username * Only lower case letters (a-z) and numbers (0-9) are allowed. Must be at least 8 characters. There can be no spaces. If this box is red it means the username is taken. Email Address * Enter Email Confirm Email Address * Confirm Email Phone * Password * Enter Password Confirm Password * Confirm Password If you are human, leave this field blank. Next
