| First Name |
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| Last Name |
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| Username |
( 4-25 characters )
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| Password |
( 4-25 characters )
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| Password Again |
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| E-mail |
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| E-mail Again |
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Mailing Address |
| Address 1 |
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| Address 2 |
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| City |
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| State/Province |
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| Country |
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| Zip/Postal Code |
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Additional Fields |
| Paypal address |
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| Date of Birth |
MM/DD/YYYY
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| Y! Messenger |
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| AIM Messenger |
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| Phone Number |
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| Age Verification |
By checking this box you understand you meet or exceed the 18 years or older age requirement to join HillBillyClickers.
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| Fraud Policy |
By checking this box you understand that HillBillyClickers.com reserves the right to ban any members account at any time. Accounts will be banned due to ANY form of fraud or if the member has a history of fraud.
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| Inactivity Policy |
By checking this box you understand that if you donot login to the site once every 30 days your account will be moved to inactive status. In order to reactivate you will need to login to your account. If your account is inactive for 6 months or longer it will be fully removed from the system. If you need your account placed on vacation status you need to contact the admin.
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| Offer Policy |
By checking this box I understand that completing offers more than once is considered fraud & will result in automatic account deletion. I am also responsible for keeping track of my completed offers on any sites that I belong to.
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| Proxy Policy |
By checking this box you understand that HillBillyClickers.com will ban any members account that is using a proxy. Accounts using a proxy will not be reinstated.
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| Duplicate Account Policy |
By checking this box you understand that HillBillyClickers.com will ban any member who has more than one account at any time. Only 1 account is allowed per household.
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| Bot Policy |
By checking this box you understand that I am NOT allowed to use or discuss using Bots. If I am found to be doing so I will be banned & forfeit all earnings.
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| Email Address |
Please enter your valid email address.
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Other |
| Referred By |
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| Security Code |
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