PRIMECashback Registration Form

Name

Registered E-Mail address

Your Broker

Trading Account Number

If you are an AximTrade customer, please enter your partner account number.

Please read the following information and check the box to agree.

Cashback is available to customers who open an account through FX PRIMECashback.
If you are not eligible for FX PRIMECashback, you will still receive an email with instructions on how to proceed.
Your information entered will be handled by FX PRIMECashback in accordance with the "Privacy Policy".
You will receive occasional notifications from FX PRIMECashback.
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