CHAT HOST REGISTRATION FORM
Virtual ID Card Information

Create your own virtual ID card, filling in the required information here. Under the name of your ID card all the confidential information about you will be saved, including but not limited to, personal information and contact and payment information. We recommend you to securely save the ID name card and password information and not share it with anyone, in order to prevent it to the maximum against the risk of abuses. We recommend you to fill in all the registration information in Latin letters. Thank you!

ID Card Name:
The name of the ID card may be 11 to 20 characters inclusive, and may contain letters, numbers and spaces (no punctuation or other symbols are allowed). It's a common practice for the ID Card Name to correspond to your personal name or your stage name, which you often use and remember well, taking into consideration the fact that Your JustWithMe ID Card Name is not published on the JustWithMe platform and is not shared with others. For example: Louisa Maria Perry; Carl Dijon Smith; Sarrha1234567, etc.

ID Card Password:
Your ID Card Password must be 8 to 15 characters, letters or numbers only - no spaces or punctuation are allowed.

Confirm ID card password:

Contact Information

In order to provide immediate contact with you in cases of emergency or other extremely important occasions that require your prompt reaction, we need your current contact information, such as e-mail address and second alternative contact information. This information shall be kept confidential. Providing personal, valid e-mail is mandatory, including one additional contact, such as: phone number, FAX# or ICQ#.

Primary email address:
ICQ#:
Phone:
Fax:
Identity Information

You should provide information that JustWithMe will use to verify your identity. This information is required under federal law of '18 U.S.C. 2257 Record Keeping Requirements' to ensure that JustWithMe engages only adults who have come to age and are documented. Have in mind that the entire information is kept confidential and is not displayed on the JustWithMe service, except on your ID card, to which only you have an access.

Full Legal Name:
First Name
Middle Name
(fill in "NA" if missing)
Last Name
Title
[Mrs/Ms/Mr]
Date of Birth:
Place of Birth:
Required information: City of birth, State/Province, Country of birth; please separate with comma [,] For example: Tampa City, State of Florida, The United States of America [or the USA]; please, don't use abbreviations for the names, except in the cases where the abbreviation is accepted worldwide [For example: The USA, The UAR, etc.]
Social Security No:
Required, if you are a USA citizen
Primary ID Document:
ID card / Passport / Driving license - indicate the document accepted as primary in your country
ID Document Number:
Date of issue of the ID:
Personal Information

Please, provide valid and updated personal information as a complement to the above specified ID information, as current address of residence, city, state or province and country. This information will be used in case we have to send you official postal correspondence to your physical address. This information will also be saved as confidential and won't be displayed on the JustWithMe platform, except on your ID card.

Current living address:
Required information: No, street name, entrance, floor, apartment, PoBox No; [For example: 352, Paramount- O' Pollo Street, Entry. 52, Fl. 12, ap. 36; PoBox 313]; separate with comma [,]. Please, don't use abbreviations for the names of the streets.
City:
Specify if you don't live in a city, but in another territorial unit, such as a smaller town or village. For example: Tampa City; Shiny Town; Prairie Village, etc.
State/Province:
State Required [especially if you are a USA citizen]
If entered by typing, please don't use abbreviations
Zip/Postal code:
Country:

By clicking the button once and successfully going to the next step 'Payment settings' you are guaranteed that you have successfully created your ID card! To have a fully and successfully completed registration, you must go through all registration steps. In case you interrupt your registration, before it is completely finished, all the information filled in by that moment will be irrevocably deleted, and later, if you decide to register again, you'll have to go through the entire registration process again. Thank you!

Copyright © 2008 JustWithMe. All Rights Reserved.
All webcam-enabled video chatrooms on this service are offered by independent individuals verified to be of legal adult age.
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JustWithMe is a responsible member of the cyber community and as such pursues a policy of implacable fight against any abuse, irregardless of the nature of the same, including the so called "hardcore pornography". For additional information please refer to our Anti-Abuse Policy.