<%@ Page CodeBehind="performer_signup.aspx.vb" Language="vb" AutoEventWireup="false" Inherits="Ultravid_Net.Web.Main.performer_signup" %> Performer Signup

To broadcast video and make money using your webcam, signup for your account below.

Performer Signup
Username: * * *
Choose Password: * *
Password (confirm): *
First Name: *
Last Name: *
Email Address: * *
Social Securty Number:
(or Tax ID for tax records)
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Country: *
Account Category: *
Referring Performer:
*
If you were referred by another performer then please enter their username here.
Preferred Payment Method: Check Western Union Wire Transfer PayPal
Name On Check:
Bank Account Number:
Bank Account ABA:

We will use your contact city and country to transfer payment funds via Western Union. Please make sure they are correct! We use your account email address to send your payments via paypal. Please make sure it is correct.

Account Successfully Created!
Click Here to log into the Performer Lounge and download the performer client software.