Authentication Information
Login: Ваш логин. Минимум три символа
Password: Ваш
пароль. Минимум четыре символа
Verify password: Повторите пароль
First, tell us where we can send your checks
First name: Имя
Last
name: Фамилия
Street address: Домашний адрес
City: Город
Zip/Postal code: Индекс
State: [not
selected] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North
Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South
Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa District of
Columbia Federated States of
Micronesia Guam Marshall Islands Palau Puerto Rico Trust
Territories US Virgin
Islands Здесь не выбирайте. Мы же не в США
живем
Province: А
вот тут впишите свой регион
Country:
[not selected] Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And
Herzegovina Botswana Brazil Brunei
Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central
African Republic Chad Chile China Christmas Island Cocos
(Keeling) Islands Colombia Comoros Congo Cook Islands Costa
Rica Cote D`Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican
Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland
Islands Faeroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea (People's Republic Of
Korea) South Korea (Republic Of
Korea) Kuwait Kyrgyzstan Lao People's
Republic Latvia Lebanon Lesotho Liberia Libyan Arab
Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New
Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern
Mariana Islands Norway Oman Pakistan Panama Papua New
Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts And Nevis Saint
Lucia Saint Vincent And The
Grenadines Samoa San
Marino Sao Tome And Principe Saudi Arabia Senegal Seychelles Sierra
Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St Helena St Pierre and
Miquelon Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And
Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab
Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City
State Venezuela Viet
Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe Страна
E-mail address: Адрес почтового ящика. Будьте внимательны. На
него прийдут данные Вашей регистрации.
Verify e-mail address: Повторите адрес
Now, please tell us more about yourself
Age: [not selected] 16-25 26-35 36-45 46-55 56-65 over 65
Ваш возраст Gender: [not
selected] Female Male Ваш пол.
М-муж, F-жен.
Education:
[not selected] High school College Graduate degree Other Ваше
образование Annual household income: [not
selected] less than $20,000 $20,000 - $34,999 $35,000 -
$49,999 $50,000 - $69,999 $70,000 - $89,999 over
$90,000 Ваш
доход. Чем больше выбирете доход, тем больше рекламных
писем получите, т.е. больше денег заработаете.
Additional Information
Please tell us why you use Internet: (check all
that apply) Выбирайте все. Получите больше рекламных
писем.
Chat Current Events and News E-mail Entertainment Gaming Health and Fitness Job
Search Maps
and Directions Parenting Research School Small Business Special Offers and Discounts Sports: News and Events Stock Quotes, Financial News Technology News Travel Weather Updates Women's Issues Work
Related Issues Other
What
do you search for or buy online: (check all that
apply) Аналогично с предыдущим. Кроме
последней.
Automobiles and Accessories Books and Magazines Clothing and Accessories Computer hardware Concert and Event Tickets Consumer Electronics Insurance Loans, Credit card applications Music, Video, DVD Office supplies and equipment Pet
supplies Software Sporting goods Stocks Toys
and Games Travel accommodations:Air/Car/Hotel Other Never Purchased Online
Payment Information
Preferred check size: [not
selected] $30 $50 $100 $200 $500 $1,000 $2,000 $5,000 Размер минимального чека
Referral Information
Referred by: Обязатель проверьте, чтобы в этом
поле было заполнено: "denehnet". Если все в порядке
переходите дальше.
Поставьте здесь
галочку.
