3. Point of Contact
Specify the account point of contact information.
This must be the name and address of a real person.
Please fill in a complete mailing address.

Name:

Address:

City:

State/Province:

Country:

ZIP/Postal Code:

Your account number will be sent to this email address:

e-mail:

If you forget your passphrase it is important that this
phone number reach you for validation:

Phone:

Fax:

Alternate Passphrase:
(Payment verification use)

4. Passphrase

Use the SRK passphrase entry button to thwart keyboard

 loggers and common viruses.

New e-gold Account Passphrase:

(Minimum length 6)
(Must contain Letters and Numbers)
(Do not reuse a passphrase from other web sites)

New e-gold Account Passphrase again:
(Verify)