New Member Signup/Verification

Please select either the paid signup tab or the free w/references tab. Verification can take up to 72 hours to complete.

First Name

Last Name

Email Address

Email Again

Password

Password Again

Identification Verification

You must upload a legible photo of your government issued identification (driver license, passport or state issued ID). The name on your ID MUST match the name on the credit card that you provided above. This is the first part of our verification process, and the image willl be deleted after verification.
(Allowed filetypes: .JPG .JPEG .PNG) =success =upload error

Please select your closest major city so that we may personalize your experience:

Closest Major City

Would you like to receive our newsletter to get updates about providers who may be new to your area or touring your area in the near future?
YES, include me in the newsletter

A $75 authorization will be applied to your card. If your application is denied for any reason, this authorization will be removed.
Continue to Payment

First Name

Last Name

Email Address

Email Again

Password

Password Again

References

Please provide 2 verifiable references of providers that you have seen within the past 2 years.

Reference #1

Provider Name

Provider Email Address

How would she know you?

Reference #2