Modify Member


__NOTICE__
Note: * marked fields are compulsory.

__AR_UPDATE_LINK__ __BONUS_SEQUENCE__ __reseller_row__ __PRODUCT_CONTROLS__ __ARTICLE_CONTROLS__ __MEMBER_OFFER_CONTROLS__ __JV_OFFER_CONTROLS__

Account Information
Username __username__
Password*
Personal Information
First Name*
Last Name
Address1:
Address2:
City
State/Province
ZIP/Postal Code
Country * __COUNTRY_SEL__
Membership Type * __MEMBERSHIP__
Email*
Telephone No
Fax No
Registration Date __regn_date__
Registration IP __regn_ip__
Sponsor ID:
Admin Comments:
Date of Birth:
Refund Comments:
these comment will be show in affilate area of sponsor
Company Name:
Mobile Phone:
Security Answer:
Security Question:
Expiry Date:
__expiry_date__  Mark as life time member.
Select the checkbox to mark user as lifetime member.
Upgrade Date: __UPGRADE_DATE__
Status: * ActiveInactive Pending CancelledPaid Refunded CancelledExpired
Membership Cancelation Date:
__CANCELATION_DATE__   Remove Cancelation date.
Availed the membership from * OTO Page Regular Signup/Upgrade
Receive Member Update Emails: * YesNo