MAXYGO - Signup form

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Signup form

Please enter information requested in the subscription form below.
Informations marked with the

sign are mandatory.

The help icon

give you hints about all and mandatory informations.

MAXYGO Promotional code

If you have any promotional code, please write it down in the field below.

Code:

e.g.: PGB8829V

MAXYGO Referer

Identification:

15 days Trial Subscription - Privilege

User informations

LastName:

FirstName:

Gender:

Male
Female

Country:

Province/State:

Username:

Password:

Enter password again:

Email (actual):

You will receive a copy of informations from this form at this email address.

Other personal informations

Website:

Birthdate:

Security control

Please enter the security code that appears in the case below

Security code:

This security code is case-insensitive.

Account access security options

	Activate security access options
		By permanent IP address Please enter your IP address if different from this computer address. By IP address range Replace numbers by 'x' characters for permissiveness. By browser querystrings The value must be in your access: http://www.maxygo.net/index.asp?max_yourword By 'Cookies' Keep 'Cookies' onto your computer to get access to MAXYGO

MAXYGO community informations

Members can send me mail from the MAXYGO public list

I want to have a MAXYGO email address ( @maxygo.com)

Subscription package informations

Desired package:

First month free (USD $)

2,83$ per month
33,93$ per year
Less than 9¢ a day

Payment method

Payment:

Credit card
Paypal
Money order
Wire transfer
Banking draft

NOTE:

You will receive shortly, into the confirmation email, all required details in order to make your payment if you want to keep your subscription after the free trial period.

Terms and conditions of use

I read and agree to the terms and conditions of use for MAXYGO service.


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