Pay per View minute Video Chat Script

Member registration form

Step 1: User Information
Login information.
Password* Password must be at least 6 characters.
Re-type the Password*  
Step 2: Personal information
Your personal information will never be seen by anyone other than the system admin.
Full Name*  
Zip Code*  
Phone Number*  
Street Adress*  
Step 3: Agree to the Terms of Service
By checking the box below you agree to our Terms of Service
You must agree with the terms:

I Agree with the Terms of Service

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