| 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 Seely Clark IV]
|
