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cash reward program registration form

 Name
 Home Phone  (       )
 Mailing Address
 Work Phone  (       )
City State Zip
 Cell / Pager   (       )
 Social Security #
 Email Address

Acknowledgements

I hereby acknowledge and agree that:

I am not an employee of BUY NOW Therefore, I am responsible for any income tax liability and for notifying the IRS of earnings.

Either, BUY NOW or I may choose to terminate my participation in the CASH REWARDS PROGRAM at any time and for any reason.

If I earn $600 or more during during any calendar year. BUY NOW will issue a 1099 IRS Form for tax purposes as required by law. Further, I will cooperate fully with the preparation of this form by supplying my Social Security Number to BUY NOW as indicated above.