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Membership Form

Be a member of GlobalPinoy and enjoy privileges that will sure make your cyberlife more fun, exciting and meaningful. Upon signing our membership form you'll get to choose your personal login account and password which will allow you to gain access of our e-mail and chat facilities. Register now! FREE Membership is a limited offer only!

Be sure to have read our terms and conditions before signing up.

GlobalPinoy adheres to strict confidentiality. All personal information provided remains private.

"For faster processing, kindly fill out the form completely and accurately. "

CREATE YOUR GlobalPinoy ACCOUNT

Account Name:	@globalpinoy.com
	Account Name must start with a letter (a-z) and should be 4-20 characters in length. VALID CHARACTERS are lowercase letters (a-z), numbers (0-9), hyphens (-) & underscores (_). Should not contain embedded spaces and other special characters.
Password:
	For security purposes, password must be 6 characters or more. Embedded spaces are not allowed. Passwords are case-sensitive.
Re-type Password:
Password Reminder Question:
	e.g. What is my most memorable occasion? (What is this for?)
Answer:
	The answer should be easily remembered by you but hard for others to guess. e.g. birthday 1991 (What is this for?)
Alternative E-mail:
	Fill this out if you already have an e-mail account in other e-mail service providers.

Tell us something about yourself

PERSONAL

First Name :
Last Name :
Birthday:
Gender	Male Female
Civil Status

CURRENT LOCATION

Street Address:
City:
Country
State/Province:
Zip Code:

OTHER INFORMATION

Occupation :
How did you know about GP?
Annual Income:	(optional)

CHAT HANDLE/NICKNAME (optional)
Reserve your GP chat handle/nickname here :
You do not need to create another GP account name to have multiple GP chat handles/nicknames. You can reserve at least 1 below. You can also reserve chat handles later.(What is this for?) VALID CHARACTERS are alphanumeric characters (a-z, 0-9), hyphens (-) & underscores (_). Should not contain embedded spaces and other special characters.
1.)
2.)
3.)
MEMBERS DIRECTORY:	Yes No
	Have your information listed on the Members Directory and enable your friends to search for your name easily. If you want privacy, you may choose to remain unlisted.
NEWSLETTER SUBSCRIPTION:	Yes No
	To keep you informed about what's happening in GP, we send out a newsletter to you every month and during special occasions. Don't miss this opportunity.