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COUPONS
Membership Type *	Incident ($39.99 for one day) 1 Incident For 1 PC Support Quarterly ($49.99 for 2 months) 4 Incident For 1 PC Support Half Yearly ($99.99 for 6 months) 12 Incident For 2 PC Support Yearly ($149.99 for one year) 24 Incident For 2 PC Support
Payment System *	secure credit card payment
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
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