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Registration Form (Регистрационная форма)

Authentication Information *required

Login Name

Логин

Password

Пароль

Confirm Password

Повторите пароль

The selected name must be at least 4 symbols long. The Login Name will be used to identify yourself upon login. Only standard alphanumeric characters are accepted.
Member Information *required

Full Name (for check payment)

Фамилия и Имя

E-mail

адрес E-mail

Address:Street

Улица,дом,кв.

Address:City

Город

Address:State

Штат (Non-US/Other)

Address:Zip/Postal Code

Почтовый индекс

Address:Country

Страна

Phone

Телефон

For security purposes once you submit this registration form, you will not be able to update your name and country data.
WEB Site/URL Information *optional

WEB Site Address /URL of your current home/business page

Адрес вашего сайта (домашней или бизнесс станички)

  [leave blank if you don't have a web site]
 

Web Site Category. What is the subject or theme of your web site

Категория вашего сайта

Additional Information *required

Why are you using the Internet

Ваши увлечения в Интернете

Business:Finance News Chat
Coupons:Deals Email
Entertainment News Gaming
Health:Lifestyle Job Search:Recruiting
Local and National News Maps:Directions
Research School:College
Shopping Sporting Events
Sports News Stock Quotes
Technology News Travel
Weather Other

What products do you buy online

Что вы покупаете в Интернете (выделяйте всё)

Airline Tickets Audio Equipment
Books Cars:Trucks
Clothing Computer Hardware
Computer Software Concert Tickets
Hotel Accomodations Insurance
Loan:Credit Cards Music:Video:DVD
Office Equipment Stocks:Bonds
Toys:Games Vacation:Travel
Pets Other

Subscribe for commercial (opt-in) email

Комерция на E-mail

Get 5 to 10 ad points ($.04 - $.10) every time you receive a commercial email from our sponsors. You are NOT required to respond to the email. Your privacy will be protected and your email address will be kept confidential.

Если вы хотите получать от 5 до 10 поинтов (0.04 до 0.1$) за рекламные письма (каждый день) то поставьте тут галочьку

Subscribe for wireless commercial (opt-in) service

Вставьте свой E-mail куда будут приходить письма

Cellphone/pager number:
Get 5 to 10 ad points ($.04 - $.10) every time you receive a commercial wireless message from our sponsors. You are NOT required to respond to the messages. Your privacy will be protected and your wireless device number will be kept confidential.

What is your age

Ваш возраст

What is your gender

Пол (male-мужской,female-женский)

What is your education

Оброзование

What is your annual household income

Сколько вы зарабатываете в год

   

We do not consider our Web site to be directed at children under the age of fourteen. To register with Spedia you must be fourteen (14) or older.

Регистрация на Spedia для людей старше 14 лет

The sections above are mandatory. All required fields must be filled before the registration is complete.

Reference number of your sponsor: сдесь должно стоять (1853366)  

Номер вашего спонсора

 

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