Webmasters, please complete every item below.
Missing fields and inaccurate information will only delay the activation process.

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Company Name:
Contact Name:
Valid Email:
Billing Address:
City:
State:
Zip:
Country:
Phone Number:
Fax Number:
Emergency Number:

Please list YOUR REFERRING URL'S below. Also a VALID
USERNAME and PASSWORD to your members area.
Cruiser Boys
Your Members Area: User:   Pass:
Maximo Latino
Your Members Area: User:   Pass:
Fantasy Boys
Your Members Area: User:   Pass:
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