Work at Home - It's As Easy As 1..2..3!! З.И.ЗДЏ`З.И.ЗДЏ`-> H.B.I.N.300!

Sign-up instantly to a number of online programs in one hit!
When you complete this form, we will submit your information to all the pay per action programs listed below.
The reason to join all of them is that several of them have a limited number of hours you can get paid for,
such as 20 or 40 a month. Using a combination of programs may increase your revenue potential.

The programs that you may sign up for from this "Multi AFFILIATE Sign-up Form" include:

All Community

Free Store Club

Six Figure Income

Desktop Dollars

Refer Central

Massive Powerline

If there are any of these programs you do not want us to sign you up for, simply uncheck them on the form!

By submitting an entry you agree to the following:

Agreement last updated: 30th November 2000

1.  'Home Business International Network 300' may use the 
    information for purposes of activating an account on 
    my behalf with only the programs named below.

2.  I understand that H.B.I.N.300 will not sell, rent, or 
    otherwise make my information available to others with 
    the exception of the operators of the programs listed 
    below.

3.  I understand that I am supplying this information 
    freely and of my own accord.

4.  I understand that submission by H.B.I.N.300 is not a 
    guarantee of acceptance into the programs.

5.  I understand that all the programs listed below have 
    "ANTI-SPAM" policies and that if I send unsolicited 
    emails regarding their offers, or use other unethical 
    means of promotion, my account may be terminated by
    the sponsoring program.

6.  I understand that if my requested username is not 
    available, H.B.I.N.300 will attempt to acquire a 
    username as close to the one selected as possible. 
    I will be notified by email. (Some programs assign
    a number instead of a username, we will inform you).

7.  With the large number of requests placed at this site,
    I understand confirmation may take up to one week.

8.  H.B.I.N.300 make no guarantees of certain incomes and
    any mentioned incomes have only been reached by actively
    working with each of the programs. Actual earnings will
    depend on the time, dedication and effort spent on each
    program and the total number of participants you have
    in each one.

9.  By completing this form I also agree to join 
    H.B.I.N.300's 'OPT-IN Email' list. This list is ONLY 
    used by H.B.I.N.300 and is intended as a means to 
    inform you of NEWS and possible new programs that MAY
    or MAY NOT interest me. I understand that I am free to
    REMOVE myself from the listing at ANY TIME.
    The H.B.I.N.300 E-Zine will, from time to time contain
    paid for advertisements.

10. I understand that H.B.I.N.300 may update these rules 
    time to time and that nothing 'harmful', 'illegal' or
    'sexually explicit' will ever be added.

Your Name: (Name checks will be made to)

Your E-Mail address: (Strictly confidential)

Street Address:

City:

State: Zip / Post Code:

Country:

Daytime phone#:

Username (6-12 chars):

Password (6-12 chars):

Password hint:

Gender: Male Female

Marital Status:
Date of Birth:

City of Birth:

Mothers Maiden name:

Job Title:

Employment Status:
Household Income:
Education Level:
Did you read, understand, and agree to the rules as stated above?

Yes

The url of your webpage (if any):

How often do you buy products on the internet?

Please check the following areas of interest that apply to you:
Auctions Automotive (Cars) Books
Buying Flowers Business & Entrepreneurial Careers
Computer Hardware Computer Peripherals Computer Programming
Computer Software Cooking, Food & Wine Education
Electronics Entertainment/Trivia Family & Home
Fine Arts / Culture Gambling Games
Government Health & Fitness Horoscopes
Internet Investing & Finance Films / Cinema
Manufacturing Music News & Events
Outdoor Pursuits Pets Real Estate
Reference Religion Science & Technology
Shopping Sports & Recreation Telecommunications
Travel & Leisure

Sign me up for the program(s) checked below:

Massive Powerline (Fast growing program)

AllCommunity MintMail DesktopDollars

Ghost Surfers (Best Program Award)
Refer Central (Best Income Community Award)
Six Figure Income (Biggest Cheque Award)

Would you like us to refer any friends for you?
(Seperate emails by a space)

(By clicking the 'Sign me up' button you also agree to
join the HBIN300 E-Zine mailed out weekly)

Note: You MUST provide a valid postal address for check/cheque delivery.

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