Mafias.com

1. Website Information
Website URL *

2. Contact Information
Important: You will be required to respond to an email to activate your account so you must use a valid email address.
Email Address *
Company *
First name
Last name *
Telephone Number *
ICQ Number

3. Payment Information

Beneficiary Name *

Address *

City *

State / Province *

Zip Code *

Country *

Tax ID / S.S. # If US Resident

Payment methods:

Check Wire Paxum

Minimum Payout

$

5. Login Information
User name *
Password *
Verify Password *
Note: Use alphanumeric and underscore (_) characters only. Limit: 6-12 characters.

Home | Sites | Program | Features | LoginSignUp

Copyright © 2008 MAFIAS.com. All rights reserved.