Alcohol 120% Serial
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authentication Infermation
1] Login ID ----------->ϴ ̵ Է (ּ3̻)
2] passwrd------------->йȣ Է (ּ4̻)
3] Verify passred------>йȣ ٽԷ
4] First name----------≯ Է
5] Last name-----------> Է
6] street address------> ּ Է (,,(,,) Է)
7] City----------------> ּ Է (, Է)
8] ZIP/Postal code----->ȣ Է(123-123̸ '-' » 123123̶)
9] State--------------->(̱ ڸ Է)
10] Province----------->
11] Country------------>South korea (republic of korea)
12] E-mail address----------------->ڽ ̸ ּ Է
13] Veryfy e-mail address----------≯ ּ ѹ Է
14] Now, please tell us more about yourself Age------->
15] Gender-------------> Male() Female()
16] Education---------->
17] Annual household income--------> ( ߿ )
18] Country------------>'korea(south) ' Է Additional information
19] Please tell us why you use internet (check all that apply)
-------------->ͳ 뵵(3 )
20] What do you search for or buy online ( check all that apply)
-------------->¶ (3 )
21] Earn cash by subscribing to receive e-mail from our partners
with special off and announcements. Please read our pprivacy policy and be
assured that younr e-mail address will be kept confiden.
--------------> ̸ ްڴ (üũ)
22] I have read and understand the Member Agreement.
--------------> ϰڴ (ݵ üũ)
23] Preferred check size
--------------> 50$ ϼ ּұݾ 50$ Ǹ Ե˴ϴ.
24] Referred by
--------------> comfyjai õ Ȯ ּ.
õ ؾ ־. comfyjai ̶ ּ.
(õ 2$ ο 5$ 켱մϴ. Ʈ ο˴ϴ.)
25] ' Submit Registration '---> Ŭ ԿϷ.
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