Alcohol 120% Serial
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authentication Infermation
1] Login ID -----------> ̵(
2] passwrd------------->Է(
3] Verify passred------>ٽԷ
4] First name---------->
5] Last name----------->
6] street address------> (,(,)
7] City----------------> (
8] ZIP/Postal code----->Է123-123-' »23123)
9] State--------------->̱ ڸ
10] Province----------->
11] Country------------>South korea (republic of korea)
12] E-mail address----------------->
13] Veryfy e-mail address---------->Է
14] Now, please tell us more about yourself Age------->
15] Gender-------------> Male() Female()
16] Education---------->
17] Annual household income--------> ( )
18] Country------------>'korea(south) ' Additional information
19] Please tell us why you use internet (check all that apply)
--------------> 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.
--------------> ڴ(ݵ üũ)
23] Preferred check size
--------------> 50$ּұݾ50$ Ǹ Ե˴ϴ
24] Referred by
--------------> comfyjai õ Ȯ
õ . comfyjai ּ
(õ 2$ 5$ 켱մϴ Ʈ ο˴ϴ)
25] ' Submit Registration '---> Ŭ Ϸ
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