Registration

Registration Form

First Name *

Middle Name *

Last Name *

User Email *

User Password *

Nationality *

Address Street #

Street Address *

Mother’s Maiden Name *

Date of Birth *

Trading Name Only the owner of the Business can use this name

City *

State *

Country *

What is your annual income?

At the Company’s discretion, members income value should not exceed 60% of the net annual income

Type of Spots desired *

# of Spots Required *

How often you’d want to be paid

Spots needs to be bought on such time for 90 days

Contact Number

Application Date *

Referrals Number

Would you like to be an Affiliate

A Commission of 10% of initial purchase is paid to chosen Affiliates

I hereby declare that I have read the terms and conditions of the Company. *

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