Personal & Contact Information - ALL Information Is Required First Name:   Instant Msg. Type: -Choose- ICQ AOL MSN Yahoo Other Last Name:   Handle/#: Email Address:       Daytime Phone:       Desired Username:       Desired Password:       Re-enter Password:       Company & Payout Information - ALL Information Is Required Company Name:   Checks Payable To: Company Address:   Tax ID/SSN: Co. Address (line 2):   Program Type: $30 per Console Free Join $35 per Standard Join $30 per Discount Join $12.30 per 1-2-3 Join 50% Revenue Share State/ZIP:  /     Minimum Payout: $50 $100 $500 Primary Site URL:       Secondary URL:       Company Phone:       Review Our Terms & Conditions Then Submit Your Information! I have read, understand and agree to all Terms & Conditions set forth and wish to create my new account with MetalCash at this time: