Clubshop Form:
Fill in this form completely to receive you reward of $5
Your Name:
*
First Name
Last name
Email address:
*
example@example.com
Your username and Member ID on Clubshop:
*
My username
My Member ID
I bought the following GPS Feature:
*
GPS Basic
GPS Basic Plus
GPS PRO
GPS PRO Plus
GPS Premier
GPS Premier Plus
Pay my reward via:
Payeer
Perfect Money
Bitcoin
Your Account Number:
Submit
Should be Empty: