We are sorry!

Your signup did not complete successfully. We have been notified and will contact you within 24 hours to let you know we have fixed the problem.
"; endpage($affiliateid, $affiliatecampaign); exit(); } } $username = $firstname." ".$lastname; send_verification_email($firstname, $lastname, $email, $activationcode); if(strlen($affiliateid)>0) { send_affiliate_signup_email($affiliateid, $affiliatecampaign, $tmstamp, $firstname, $lastname, $email); } echo startpage($tmstamp); ?>

You are almost done!

We just sent an email to you at: .
To confirm your registration, please open that message and click on the special link contained in it.

0) { send_affiliate_signup_email($affiliateid, $affiliatecampaign, $tmstamp, $firstname, $lastname, $email); } echo startpage($tmstamp); ?>

You are almost done!

We just sent an email to you at:

Please click on the link you find inside the email to confirm your registration.

Please confirm the data you entered
First Name
Last Name
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
Email
Security Question
Security Answer

" name="theForm">

Please confirm the data you entered
Business Name
Keywords
Business Address 1
Business Address 2
Business City
Business State/Province
Business Zip/Postal Code
Business Country
Customer service email
Customer service phone
Business URL
First Name
Last Name
Phone Number
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
Security Question
Security Answer

" name="theForm">

Business information - Business Information - Enter your group, organization, government entity, non-profit, individual business, or partnership information below to begin Business Account signup.
Business name
Keywords (for customer searching)
Address 1
Address 2
City
State/Province (eg: CA, QB)
Zip/Postal Code
Country
Customer service information - Enter the Customer Service Information for your business. An email address where your customers can contact you is mandatory. This information will only be provided to those who purchase from you.
Customer service email
Customer service phone
Business URL

Business owner contact information - Enter the contact information for the owner of this business. If you are the owner or contact person for this business, enter your information.
First Name
Last Name
Work Phone

Email Address - Your email address will be used as your phoenix-pay login.
Email

"; ?>

Business Owner Address - If the business owner's personal address and business address are the same, this section can be left empty. If the business owner's personal address is different from the business address, please enter the business owner's personal address below.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Password - use a password that you will remember but extremely difficult for anyone to know. Very important - use a password you have NEVER used anywhere else on the internet! Your password must be at least 6 characters long, have at least one letter (a-Z) and 1 number (0-9) and is case sensitive. You may also use any of the following special characters: !=+*;:-,._{[()]}#%?@
Password
Re-enter Password
Security question - If you forget your password, we will ask you the question you submit below. Please, try to find a personal question and answer which only you know.
Security Question
Security Answer
"; echo "
Acceptable Use Policy and Privacy Policy - The Acceptable Use Policy and Privacy Policy are designed to protect and inform you of your rights within the phoenix-pay service.
type="checkbox">	I have read and agree to the Acceptable Use Policy and Privacy Policy.

" name="theForm">

Please note - your NAME and ADDRESS must be the SAME info registered with your Checking Account.
First Name
Last Name
Address 1
Address 2
City
State/Province (eg: CA, QB)
Zip/Postal Code
Country
Phone Number

Email Address - Your email address will be used as your phoenix-pay login.
Email

"; ?>

Password - use a password that you will remember but extremely difficult for anyone to know. Very important - use a password you have NEVER used anywhere else on the internet! Your password must be at least 6 characters long, have at least one letter (a-Z) and 1 number (0-9) and is case sensitive. You may also use any of the following special characters: !=+*;:-,._{[()]}#%?@
Password
Re-enter Password
Security question - If you forget your password, we will ask you the question you submit below. Please, try to find a personal question and answer which only you know.
Security Question
Security Answer
"; echo "
Acceptable Use Policy and Privacy Policy - The Acceptable Use Policy and Privacy Policy are designed to protect and inform you of your rights within the phoenix-pay service.
type="checkbox">	I have read and agree to the Acceptable Use Policy and Privacy Policy.