Please, fill out this form and paste in the e-mail.
Sponsor Information's:
Fist name                    Last name
Daniel                            Leblond
Identification code:    A990705001LEDA5106222

New member information's: (write where is the red star *)
Fist name                    Last name
*                                    *
Birth date:    Day    *     Month     *    Year    *
Address:    *
P.O.Box:
Place:    *
City:    *
Zip code:    *
Country:    *
Phone:   *                      Fax:
E-mail ( Internet ):    *
Occupation:    *                                                 Responsibility:    *
Gender ( F=female, M=masculine, A=association/foundation, C=company ):    *

Group:         Price         Members for qualification
    A                $20                             4

Example money back A group
Level         Group     Price subscription    Members     qualifying     Free income
    0                A                $20                            you                  4                       $0
    1                A                $20                            4                                               $20
    2                A                $20                            16                                             $40
    3                A                $20                            64                                             $80

If you are ready to integrate, with any happy other members, Cyber Community Partner department of Soft integer USA corp. and agree the general conditions without reserve, sign this solicitude form.

Welcome to Cyber Community Partner department.

I assert to read all the rules document and accept the conditions or rules of Cyber Community Partner.