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OQiis Co. >> Payment Solutions >> E-Pay (User Registrations)

 

You can automatically register yourself to be a user of [e- Pay] by filling out and submitting this form.

 

Only registered users are allowed into [ OQiis Co. | e - Pay ]

 

Choose a username for yourself (such as your last name) and make sure this username contains no spaces. Also create a private password.

Together these will be your "key" into [Name of your sub site] from now on.

This information will be kept in a registration database that is accessible only to the webmaster, not to ordinary users.

 


 

Registration Form

 

First Name  *

Capital letters

 
Last Name  *

Capital letters

 
   
E-mail  *
Password  *
V. Password  *

 

 
Current Bank Name if any

Current Bank account No.

if any
Nationality  *
Age  *
Country
* Other
City

Amount to Deposit (US $)

 *

Your signature

 *

 

 

Comments

 

*Required Fields

By submitting this application I agree with all MasterCard conditions, US payment rules and my current region payment restrictions.

 

I accept the the new registration fees. " New registration fees = 80 $ "

 

 

For new registrar:

 

please, print out this application and attach it with a valid copy of your ID or passport copy.

"e-pay@oqiis.com"