English
|
Polski
|
Contact
Information (just the basics): |
Dane
kontaktowe (podstawowe): |
Referring
Partner ID |
ID
osoby, kt≤ra CiΩ poleci│a:. |
Title
Mr. Mrs. Ms. Miss. Dr. |
Tw≤j
Tytu│
Pan, Pani, Panna, Dziewczyna, Doktor |
First
Name |
ImiΩ: |
Last
Name |
Nazwisko: |
Mailing
Address (this is where your checks will be sent) |
Adres
pocztowy |
City |
Miejscowo£µ: |
State
or Province |
Stan
lub prowincja (wpisz - lub OTHER) |
Postal
Code |
Kod
pocztowy |
Country |
Kraj |
E-mail
Address |
E-mail |
Please
confirm your email address |
Ponownie
podaj e-mail |
Personal
Information (we know we're digging, but really,
it's necessary): |
Informacje
osobiste |
What
year were you born? |
W
kt≤rym roku siΩ urodzi│e£ /a£? |
Have
you ever made a purchase on-line? |
Czy
kiedy£ ju┐ dokonywa│e£/a£ wydatk≤w on-line? |
How
many hours do you typically spend on the web in a month? |
Ile
godzin zazwyczaj surfujesz miesiΩcznie? |
Logon
Information |
Dane
identyfikacyjne |
Select
a Partner ID
(3-12 alphanumeric chars) |
Wprowadƒ
Twoj╣ nazwΩ u┐ytkownika
(3-12 znak≤w alfanumerycznych) |
Select
a password
(3-12 alphanumeric chars) |
Wprowadƒ
has│o (wymy£lone) |
Retype
the password to confirm it |
Powt≤rz
has│o |
Lastly,
please tell us how you heard about us?
Another web site
From a friend or relative
From someone I don`t even know
Press coverage |
Jak
siΩ o nas dowiedzia│e£ / a£ ?
Z innej strony WWW
Od znajomego
Od nieznajomego
Z prasy |
That's
all there is to it. Just hit submit and you're on your
way. |
To
wszystko.
Kliknij "Submit" |