Registration Form Radio Buttons Account DataFirst Name Last Name Username Email The login information will be sent to this email address. A random password will be generated and you can change it later from your account.Custom FieldsRadio Options Option A Option B Option CComments Please input a detailed information about your self.Membership Options Silver Package $99.00 / one-time testing package Gold Package $85.00 / every 1 day This is for daily subscriptions. Free Plan $0.00 / one-time This is a free plan Payment Options Pay with PayPal Pay with Credit Card Credit Card Submit Submit Already have an account?
