| Username: | 
         | 
        This will be your referral and login ID. Letters and
numbers only. | 
      
      
        | Your Name: | 
         | 
        Please enter your first and last name. | 
      
      
        | Contact Email: | 
         | 
        This email is used for
sending you messages from admin. | 
      
      
         | 
         
Additional info (optional): | 
      
      
        | List Email: | 
         | 
        This email is used for sending you messages from
other members. 
If left blank, we will use your Contact Email. | 
      
      
        | Payment Email: | 
         | 
        This email is used for sending you commissions. 
Please choose whether to receive via 
PayPal or  PayZa | 
      
      
        | Promo Code: | 
         | 
        If you were given a promo code enter it here. | 
      
      |   |  | 
      
        
        
 [Your referrer is Chris Yeong] 
        
         |