Apply for address approval. Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Who referred you, if anyone? Please give their full name and phone number or email address. Do you want to make money by plugging in a device and walking away? * Yes No (no need to apply) Do you have an electrical outlet within 6 feet of this location? * (If no, will you provide an extension cord to the location?) Yes No Are you ok with the device being visible in your windowsill? * (It can be behind a curtain/shade, and is approx. 6 inches sq. max.) Yes No Do you have internet in your home? * Yes NO Preferred Method of Communication * Phone Text Email Notes/Questions You may have for us. Thank you for applying! We will get back to you as soon as we can, usually within 2 business days.