IMPORTANT NOTICE

*****************************

If you have a discount coupon code, fill out the form, click on "submit" BUT CLOSE THE NEXT PAGE WITH PAYPAL BUTTONS ! I will send you an individual paypal invoice with the special discount price when I receive your joining form. Thanks ! 

 

Please be sure to have read and accepted my terms of use before to join.

Please fill in all the form. Thanks !

 

remember ! you must have a website to join and not a "under construction website". Thanks !

 

first name

your last name

your Email address :

your website url

your paypal adress :
Your members area's access information :  please give me the login and password (it is only to check my terms are respected, only for this reason)
choose a login name :

choose a password :

(5 characters minimum)
Name for your member's logo :
Hair color for your member's logo :
Name on the Tube Licence : (if you purchase one)
Hair color for tube licence :(if you purchase one)
discount coupon code (if you have one)

did you read and accept my terms of use :
 YES    NO

select a membership type :

     3 months

       6 months  

 1 year

     6 months + Tube Licence 

1 year + Tube Licence

note the following code :