your ip, geolocation, possible proxy ip, and vitals have been recorded and will be sent in with the below application

fill in all information accurately and about yourself



first name:

birthgiven last name:

what country do you currently reside in:

zip code:

home address:

email :

do you live in a major city (new york, moscow, etc):

are you a part of or have you been a part of any social media networks:

are you available to be online the majority of the time:

is your home network used at all by anyone other than yourself: