Your Name / Username:
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Your Email:
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Payment Method
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Transaction ID / Batch Number:
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Ad #1 ( Personal Page PTC / .0003 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #2 ( Personal Page PTC / .00025 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #3 ( Personal Page PTC / .00025 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #4 ( Personal Page PTC / .00025 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #5 ( Personal Page PTC / .00025 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #6 ( Personal Page PTC / .00020 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #7 ( Personal Page PTC / .00020 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #8 ( Personal Page PTC / .00020 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #9 ( Personal Page PTC / .00020 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Ad #10 ( Personal Page PTC / .00020 Cash Personal PTC ):
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Your Comments & Notes:
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Ad Description:
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Paid-Link URL:
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Banner URL:
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Check this box if you have submitted this form truthfully, and you have made the payment for the advertisement.
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