Pics4Clicks Application Form

CHECK ALL THAT APPLY:

I attest that I am at least 21 years of age.

I am registered with Internic as the Webmaster of record for my domain.

I have emailed a copy of my ID showing name and date of birth to infosuze@charter.net

After submission of the following information, you will be asked to select a username and password for access into the Pics4Clicks Webmasters Lounge and Image Base. When your new account is activated, you will receive an e-mail message with your new tracking code, banner instructions and access to the Webmasters Lounge. Once your banner code is in place at your site, your traffic stats to suze.net will be immediately visible to you each time you enter the Webmasters Lounge and you will have access to your account records.

Your license applies only to those domains / URLS which you register. Submit your main URL here. As soon as you can access your account records, you must add all additional domains / URLS that you are including in this license.

By submitting the form below, you attest that you are at least 21 years of age and are agreeing to all terms and conditions of Suze Randall Pics4Clicks License Agreement.

Site Information
Site URL
Email Address
Location of Suze.net banner at your site
Site Type-Select One AVS*
Membership*
Free/Other
*AVS and Membership sites must provide permanent username & password.
Site Username
Site Password
Personal Information
Your Full Name
Name of Your Site