Evalues.Net System Registration
Standard Membership
Referred by a Member?

Enter the 12 digit referral number


(Leave BLANK if not referred)
Main Information
*
*
v
*
*
*
v
v
*
Billing Address (If different than above)
v
v
Business Details
Customers of U.S. Exchanges

Your Tax ID or Social Security Number is also required for the purpose of account identification per federal regulations.

Your Tax ID or SS# is stored in our SECURED database to fulfill federal requirements and is not disclosed to any 3rd Party business or individual.

*
v
Primary Product or Service
v
v
Contact Information
Select a Personal Identification Number
*
Secured Payment Information
loading Compupay©
*
*
v
v
*
Confirmation and Signup Payment
Standard Membership
Standard Membership
Payment Description Amount To Charge
Registration $2,000.00

Please read important Terms Of Service Agreement and Online Application Policy

"I have read, accept and agree to the Terms of Service Agreement and Online Application Policy."

Initial Here

Verification Code

Your privacy and security is very important to us. Therefore, we ask that you enter the secret code from the image below.

Captcha image
Show another code
Submit Application

Copyright © 1998-2014 eValues™ | Copyright © 1981-2015 Teletrade int'l (TTi™) | Copyright © 1999-2015 Compupay™ | All rights reserved | User IP: 54.82.93.116 | Browser: Unknown 0