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Please fill in this application and create your User Account.
All fields with a * are mandatory.

     
* Choose a login name:  
  (Minimum of 6 characters)  
*  Mr.  Ms.  Mrs.   
* First Name:  
* Surname:  
* Email:
 
 

Subscription messages, PRMinds Network information, etc, will be communicated to this email address.

Your email address will NOT be used for any other different commercial activities and it will NOT be communicated to any other third-party.
     
* Company Name:  
* Address 1:
 
Address 2:  
* Country:  
* Post code:  
* City:  
* Telephone Number: -
(area code - local number)		  
* URL - http://  
 
* Select Your PR Distribution Package
Distribution Packages N° of Usage Credits EURO
  Upload & Go Single use 50,-
  3 Months Period Illimited Access & Distribution 900,-
  6 Months Period Illimited Access & Distribution 1700,-
  12 Months Period Illimited Access & Distribtion 2900,-

After you've submitted your details and choice of PR distribution package, user account registration confirmation and an electronic invoice including all payment information will be automatically forwarded to you by email.

Please print out the invoice, sign and return it by fax to us. Once received, your account will be activated and credited.