Join form for The Singles Center

www.singlescenter.com

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Payments via PayPal.com secure servers.
We accept payments, through PayPal.com, a secure payment site. You will need an account with PayPal, which you can set up now or when you click on the PayPal payment link in your confirmation (Paypal will pay you $5. for setting up an account, and $5. for each friend you refer.)

Business Membership

All fields are required unless indicated as optional:

If a current member referred you, include their email address as Referring Friend so they can earn their $5. referral bonus.

First name:
Last name:
Company:
Street
City:
State and ZIP:	ZIP:
Phone #:	(Replace numbers)
E-mail address:
Referred by (email address):
Business Membership	$50. /month (paid quarterly - $150.)
Contact?:	Yes, Contact me about Business Opps: LD, DSL, Internet Access & more... Clean Air/Water & Health products Internet Marketing Anything