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INSTRUCTIONS

1. Fill out the form below, then click submit. Please make sure you accurately, and completely fill out the form. Your information will never be shared with any third parties without your prior consent.

2. Please ensure you provide a good, valid email address. Email is the primary means of communication, and a critical link between you and Wholly-Water.com. Do not use an email address that frequently has a full inbox. Also, please do not use an email with an autoresponder or any zwallet.com emails.

3. Enter all information here EXACTLY as you wish it to appear on your website pages.

Enter your Personal ID below as you wish it to appear in your wholly-water.com URL.

Your URL for your web site will be instantly created for you at:

http://www.wholly-water.com/personalid.

For example, you might just take the first letter of your first name and add your last name.

Example: Jim Smith = jsmith

Use all lower case letters only in your ID.

Also, it is usually not good practice to use any special characters (like "&" or periods), just use letters or numbers only.

Only one site is allowed per member. Duplicate sites will be deleted.

* Indicates a required field.

Fill out the following form to get your website.

Sponsor Information:

[FIRSTNAME] [LASTNAME]

[PERSONALID]

First Name:

Middle Name:

Last Name:

Address 1:

Address 2:

City:

State or Province:

Zip:

Country:

Email:

Verify Email:

Home Phone:

Business Phone:

Fax Phone:

Choose a Personal ID:

Example:

http:// www.wholly-water.com/personalid

Do not type the full URL - Just the Personal ID that you want (i.e. johndoe).

(20 characters maximum, You must NOT use any spaces, slashes, capital letters, special characters (.,*,^, /,etc.) or punctuation marks of ANY kind. You may use "-", "&" or "_" ). And, the shorter the better!

Password: