Forex Robot Installation Form

Please fill in all the blanks completely and accurately. Look to the left of each box for special instructions when needed. Thank you.

Name * First Last
Please fill out your first and last name
Valid Email Address - Please read note to right -> *

If you're using a Comcast, PeoplePC, or Verizon email address, please set up a free Gmail account. These major ISP have such strong spam filtering software that none of my emails will get to you. Thank you. http://www.gmail.com
U.S. Phone Number (Optional) - (###) - ### ####
Please leave a valid phone number in case I need to contact you about your installation
International Phone Number (Optional)

Please leave a valid phone number in case I need to contact you about your installation
Windows or Mac User *

Please let me know if your own personal computer is a Windows based operating system or if you are a Mac user
Forex Broker *

Please choose the broker you want to use for your Forex Trading
Beginning Demo Balance *

Please let me know what amount you would like to start your Demo account with. These are the default options with a Demo account. You'll be able to go live with smaller amounts.
Choose Your Robot or EA *

Please choose which trading Robot you want me to install
Robot Members Area Login Email or ID *

Please fill in your login email or ID for whichever robot members area you purchased from. If using Megadroid, please provide the Clickbank receipt number which acts as your activation key for the software.
Robot Members Area Login Password *

Please fill in your password for your Robot's members area
Choose Your Virtual Hosting Account Provider *

Choose which VPS hosting provide you use
Virtual Host Login Email or ID *

This is the email or ID you use to login to your virtual hosting account
Virtual Host Login Password *

This is the password you use to login to your virtual hosting account