| First Name |
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| Last Name |
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| Username |
( 4-25 characters )
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| Password |
( 4-25 characters )
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| Password Again |
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| E-mail |
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| E-mail Again |
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Shipping Address |
| Address 1 |
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| Address 2 |
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| City |
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| State/Province |
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| Country |
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| Zip/Postal Code |
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Additional Fields |
| PayPal Address |
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| Phone Number |
XXX-XXX-XXXX
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| Phone Number - Alt. |
XXX-XXX-XXXX
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| Date of Birth |
MM/DD/YYYY
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| Y! Messenger |
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| AIM Messenger |
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| Age Verification |
By checking this box you understand you meet or exceed the 18 years or older age requirement to join DealBarbiePays.
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| Fraud Policy |
By checking this box you understand that DealBarbiePays reserves the right to ban any members account at any time. Accounts will be banned due to ANY form of fraud or if the member has a history of fraud.
*View Fraud Policy*
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| Inactivity Policy |
By checking this box you understand that if you donot login to the site once every 30 days your account will be moved to inactive status. In order to reactivate you will need to login to your account. If your account is inactive for 6 months or longer it will be fully removed from the system. If you need your account placed on vacation status you need to contact the admin.
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| Offer Policy |
By checking this box I understand that completing offers more than once is considered fraud & will result in automatic account deletion. I am also responsible for keeping track of my completed offers on any sites that I belong to.
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| Signup Bonus Policy |
By checking this box I understand that I will receive a 50 cents Signup Bonus credited to my account upon joining. This is bonus is to be used towards my first $5 cashout only. I also understand I am not allowed to use this bonus to purchase advertising packages, upgrades, etc or my account will be deleted.
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| Advertising Policy |
By checking this box you understand that I must follow to advertising rules or your account will be terminated & no refunds will be issued.
*View Advertising Rules*
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| How did you hear about Dealbarbiepays? |
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Other |
| Referred By |
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