Your Buyer Registration Form
We are registering this buyer under your name to be sure that you will receive the commission.
Registration Date
:
**
required
Your Buyer's First Name:
**
required
Your Buyer's Last Name:
**
required
Your Buyer's Address
:
Item number your buyer might purchase
:
Your First Name:
**
required
Your Last Name:
**
required
Your Email Address:
**
required
Country
:
**
required
Your JRM ISR No.:
**
required
How would you like to be paid?
Bank Draft
Post Office Transfer
Bank Wire Transfer on Large Amounts
Your Mailing A
ddress:
( if it differs from your
JRM ISR registration form.)
Or you may
click here
to print out then fill in the form
and fax it to 1-604-408-8627
