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 New Producer SignUp Form      

Would you like to have your videos promoted on our Pay Per View system? Make 30% (non exclusive) or 40% (exclusive) for Every Minute your video is viewed. Sign up and follow the next three [3] simple steps and you will have another revenue stream from your videos:

     
*USERNAME    
*PASSWORD    
*CONFIRM PASSWORD    
*FIRST NAME    
*LAST NAME    
*Date Of Birth    
BUSINESS NAME    
NAME ON CHEQUE    

TAX ID INFORMATION:
(US RESIDENTS ONLY)

   
* E-MAIL    
*PHONE    
*ADDRESS    
ADDRESS LINE 2    
*CITY    
*COUNTRY    
*STATE    
*NON US STATE    
SOCIAL SECURITY NUMBER [SSN]
(US RESIDENTS ONLY)
   
[EIN]    
*POSTAL /ZIP CODE    
*MSN NAME    
*URL
(YOUR WEBSITE URL)
   
*COMPANY NAME    

Fields Marked * Are Mandetory    
 
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