Adult Application Form

R S A T

Adult MEMBER REGISTRATION FORM

Fill in your " Adult MEMBER" Registration Form for MALTESE ONLY and send it by clicking on the submit button below.

Yahoo, Hotmail and similar addresses will not even be concidered.

First Name
Last Name
Company Name
Address

E-Mail Address
Telephone Number
Fax Number
Web-Site Address
Country
Gender	Male Female
Date of Birth	Must be over 21 years of age.
Occupation
Account Information
Sign-in-Name (Must be greater then 6)
Password : (Must have at least 6 numerical or 6 alphabetical letters )	Must be at least 6 numbers or letters
Re-Enter Password

What best describe your profession ........
You are to be over 21 years of age to be a member of this section. State your I.D Card number
Date of Application	Saturday, 23 August 2008
Please write the counter number in this box.	The new members will be added within 36 hours of the application form sent to us if agreed to our Terms & Conditions, and approved by the administration. I Agree I Do Not Agree If you will encounter any problems, please send us an e-mail at satellite@antsat.com .Thank you.

It is the discretion of ANTSAT - ROSAT TRADING LIMITED to allow access for Adult membership.

Thank You

The Management.

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You have to be an ANTSAT - ROSAT CLIENT to be an ADULT member. The password will be changed every 28 days. So you have to apply again if you wish to have access to the Adult section and must be OVER 21 Years of age.

With ANTSAT - ROSAT, the sky is no longer the limit.

Click to return to the main menu.

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