Adultchatsales.com

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Ready to join? Complete the application below and click "JOIN". Required fields are denoted with a ( * ). Once your application is approved you will receive a confirmation message that will provide you with further instructions on how to access your new account.


1. Website Information
Company: *
Website URL: *
Referral Code: *
A Referral Code is required. If you have not been referred here please contact us at signups@adultchatsales.com.


 2. Contact Information 
Important: You will be required to respond to an email to activate your account so you must use a valid email address.
Email Address: *
Name: *
Telephone Number: *
ICQ Number:


 3. Payment Information 

Payable To: *

Address: *
City: *
State / Province: *
Zip Code: *
Country: *
Tax ID / S.S. #
If NON USA Resident write N/A above!
 
Payment methods: Check    Epassporte    Wire
 
Required for Epassporte payment:

Epassporte Username:
 
Required for Wire payment ($40 fee for processing):

Account Number:
SWIFT/BIC Routing Code:
ABA Routing Code:
Bank Name:
Bank Address:
Bank City:
Bank State:
Bank Country:
 


4. Funds Distribution 
Minimum Payout: $


 5. Login Information 
User name: *
Password: *
Verify Password: *
Use alphanumeric (numbers & letters) and underscore (_) characters only. Limit: 6-10 characters.


 6. Legal Information 
Date of Birth: *

We do not allow any type of email traffic!
By clicking "JOIN NOW!" you agree to our Terms of Service!