You must have first read the Information Page before
filling out the form.

Name:
Email Address:
Phone Number:
State Interested In:
Ownership:
If Friends, how many would be included?
Amount:
Username:
(Username on Network Sites)
Where did you hear about us?

Credit Card Information
Your credit card transaction will go over our secure server

Card Number:
Exp. Date:
Name on Card:
 


 

 

 

To lease a States Site, there are two price options.

If you are a member of the Country Singles Network, sign up costs are only $49.95!

Click here to become a member!

If you are not a member of one of our network sites, a onetime fee of $149.95 will be billed to your credit card.

Once we have gone over your information, you will be contacted by email.

Web sites are usually designed and created within 2 weeks of your acceptance in the program. If you have any questions, please feel free to email us.


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