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Feeling overwhelmed at the number of forms to fill out? Then just fill out this one form and I will go through all the ones you choose and fill them out for you!!!Why, you may ask, would I go through the hassle of filling out these forms for you? Well there's three reasons; 1) because I know what a pain it is to fill out all these forms and I'm just a nice guy like that. 2) Because I have filled out these forms again and again, I know them well and I can fill them out quickly. 3) Because I like money and the more you sign up for with my Reference ID # on, the more money I get paid!

Just fill out the form below and I will send you an e-mail with all of your various log in names, passwords, Reference ID #s, and the URL's for you to send your friends to! It's that easy.

And, when you fill out this form, I will make a webpage just like this one for YOU to send YOUR friends to so you can make even MORE money! SIGN UP TODAY!!!


First things first, which programs do you want to make you money?

Surfing/Using computer programs

 

AllAdvantage
ePippo
BePaid
AdPerks
VIPBenefits
ItAddsUp
DesktopHorizons
Valuepay
GoToWorld

GetPaid4
UtopiAd
AllComunity
ClickDough
mValue
DotAd
PayBar
PaysU
ExtraSalary

Cashsurfers
DesktopDollars
Spedia
SurfAd
Urge2Net
SharkHunt
PaidtoSurf
GoThroughUs
BlueTree

E-Mail programs

YesMail
SendMoreInfo
AllComunity
MoneyforMail

TotalE-mail
HTMaiL
NetBiz
TheMail

Others

FreeRadioCash


Now, some general information.

All information is required unless otherwise noted

First Name:
Last Name:
Address:
Address 2:
(Optional)
City:
State:
Zip/postal code:
Country:
Gender:
Education:
Employment:
Emplyment status:
Household Income:
Number of People in Household:
Phone number: ( ) (Please include area code)
Best time to call (Please include time zone, ie EST)
Social Security Number: - - (needed for tax forms)
Age:
Birthday: 19
Marital status:


Some information about your online use


Hours spent online per month:
How often do you buy online:

What of the following have you purchased online in the last 6 months

Books
Financial Services
Software
Hardware
Flowers
Auctions


Please list your interests. Check all that apply. You must check at least 5. The more you check, the more paid advertisements you will recieve.

Education Free Stuff Kids Oriented
Magazines/ezines News/weather Religion
Auctions/mall sites Retail Stores Comp. Hardware
Comp. Software Free/shareware Internet Business
Internet Intertainment Web Development Art/literature
Games Science Movies/cinema
Music Pets/animals Sport
Travel/leasure Business opportunity/MLM Business Services
Business Products Business Financing Misc

 


Now for your login information

Try to make your login easy to remember, but not so common that it will be taken. For example, both "chris" and "43kd98ke93" are bad login names, but "goober98" and "momasboy16" are good. You must use both letters (a-z) and numbers (1-10) in your username, and it should be between 5-10 characters long.

Same with your password. It should be easy to remember (but doesn't need to be so unique) and have both letters and numbers.

Some of these services will asign you a login name and/or password. some will let you choose your own, but will asign you a different Reference ID number. These will all be sent to you either by them or by me.

Login/user name:
Secondary login: (in case promary is taken)
Password:
Confirm password:

E-mail address:
Secondary E-mail: (For pay mail, optional)


The following are to retrieve your username/password if they are lost.

Mothers maiden name:
First love:
Optional question:
Answer:

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