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



age:


gender:


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: