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Employer Registration

Standard Employer Membership - $19.95 Monthly
Please provide the information requested below. This information is used for the purposes of establishing your identity and account. The only information available to the public is what you provide in your Job Profile.   If you already have a membership, click here to login.  Please Note: Fields marked with * are required

FIRST NAME *
LAST NAME *
 
CITY *
 
STATE (US only)
 
COUNTRY *
ZIP/POSTAL CODE *
 
TELEPHONE (Area Code - Number) PLEASE NOTE: Your telephone number will only used by Adultstaffing.com Support personnel should we need to contact you regarding your account.
-
 
E-MAIL ADDRESS * (ex: youremail@yourdomain.com)
 
USERNAME *
 
PASSWORD *
CONFIRM PASSWORD *

Please Bill My Credit Card   Please Bill My Bank Account  



YOUR STANDARD EMPLOYER MEMBERSHIP SUBSCRIPTION IN THE AMOUNT OF $19.95 WILL BE PROCESSED SECURELY WITH CCBILL. ONCE YOU CLICK ON PROCESS REGISTRATION, YOU WILL BE PROMPTED TO PROVIDE YOUR COMPANY INFORMATION. ONCE YOUR COMPANY INFORMATION HAS BEEN SUBMITTED, YOU WILL BE REDIRECTED TO CCBILL TO COMPLETE THE SUBSCRIPTION PROCESS. PLEASE MAKE SURE YOU HAVE YOUR PAYMENT INFORMATION AVAILABLE.

Please note: By clicking on Process Registration, you are stating that you have read the and accept it's terms and conditions.

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