|
|
1. Enter Account Information
|
| Desired Username |
|
|
| Desired Password |
|
![header=[Desired Password] body=[Must be at least 4 characters and not more than 12 characters in length, containing letters, numbers and underscores.]](images/help.gif) |
| Confirm Password |
|
![header=[Confirm Password] body=[This entry must match the Password entry]](images/help.gif) |
|
2. Enter Contact Information |
| Payee's Email |
|
|
| Payee's Company |
|
|
| Make Checks Payable To: |
|
|
| Payee's Website |
|
|
|
| |
| First Name | |
State | |
| Last Name | |
Phone Number | |
| Street Address | |
Fax Number | |
| Suite Number | |
Postal Code | |
| City | |
Country |
|
|
| Optional PayPal Payment |
| Pay Me Using PayPal |
(checkbox) |
| PayPal Account |
|
 |
|
Receiving A PayPal Payment From Us Is Optional If you choose not to receive PayPal payments from us, we'll send you a paper check in the mail. |
|
| 3. Agree To Terms & Conditions |
 |
|
| Yes, I have read, understand and agree to the above terms and conditions |
|
| |
| |
| Enter Verification Code |
|
 |
|
|
|
|
|
|
|