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Advance Free Sign-Up for Reality Street Membership

Use this form to sign up for FREE MEMBERSHIP to play Reality Street for three free months. (Regular subscription rate will be $4.95 per month or $49.95 per year.)

If you have signed up previously, please sign up again. All previous signups were lost.

You must be over the age of 18 years to play this game. Do not submit this form if you are under 18 or othewise not considered an adult in your jurisdiction.

Reality Street

Welcome to Reality Street's Membership sign up page. To receive a FREE 3 MONTH MEMBERSHIP, please fill out the questionnaire form below. The information provided will not be sold, rented or traded or otherwise disclosed to any third party. This is a general questionnaire to help us plan game operations. Failure to answer the questions will result in this form being automatically discarded. Thank you.

Enter Email Address:  
(mandatory)
(Example: name@domain.com )

Verify Email Address:  
(Required)
If you do not enter your email address correctly,
we can not send your User ID.

Survey Questions:
Please select one answer in each of the following sections.
Do you have a Visa Card, MasterCard, AMX or other credit card? A debit card?




If you have a credit or debit card.
What credit card do you primarily use for online transactions?


Do you use other forms of online payment such as 
PayPal, or any other third party payment system?


How did you first find out about RealityStreet.Com?


Do you play games or adult games on the web now?


Are you currently a paid member on any gay adult sites?


Do you take part in chat on gay web sites?



Do you take part in IRC Chat, Instant Messaging, Chat Networks?


What is the speed of your internet connection?


Your Country of Residence: