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New Member Information Form
Congratulations! You have paid your referrer and admin. Now complete the member form in order to gain access to the member's area. Required fields are denoted with red asterisks *. Your subscribe email must be different than your contact email. Before submitting the form, you must have read the Terms of Service, our Rules and the list of banned email accounts. Do not use any of the listed banned emails as your subscribe email address. Refer to the yellow post-it below for links to our Rules, Terms, and Banned Email Domains.

  Membership Type: EXECUTIVE
  Referrer: 1trafficjam
  Your Account Information
  First Name: *
Please Read:
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1. Terms of Service
2. Rules

3. Banned Email Domains
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  Your Contact Information
  Contact Email: *
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  Your Payment Information
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  I Agree Yes, I have read and agree to ALL of the Terms and Rules set forth by Elixir Safelist. I also agree not to use any banned email domains as listed in the banned email domains section. I agree to keep my mailbox clean to prevent bouncing. I also understand that by not following the rules as stated above, Elixir Safelist may cancel my account without refund.
   
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