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Gomez PEER Application

All fields must be completed for your application to be considered. Payments do not begin until your account has been activated, and your computer accepts testing requests. Compuware Gomez reserves the right to reject any application without reason or notice.

Information in this section is used to setup your Gomez PEER account. Payments are distributed electronically via PayPal. The email address you provide must match the email address you have registered with PayPal to be eligible for payments.

To verify your payment details, Compuware Gomez must collect your name and mailing address. These must also match the details stored in your PayPal account. This information is not shared with any third-parties (see our privacy policy for more details).

 
User Name:
Password:
Confirm your password:
Email Address:
Confirm Email Address:
SELECT A PAYMENT OPTION:
DEPOSIT TO YOUR PAYPAL ACCOUNT
Important: You must have a PayPal account to receive payments. Please ensure that the email address registered to your PEER account is a valid PayPal email address.
DONATE TO SELECTED
CHARITY
Important: You can update your payment options at any time by logging into your account.
*Total monthly donations are capped at $45
*Total annual donations are capped at $540
First Name (Given Name):
Last Name (Surname):
Mailing Address:
Mailing Address:
City:
Country:
State/Province/Region:
Zip Code or Postal Code:
Phone Number:
Referred By (Enter referrer's username):
If you desire to be anonymous in leaderboards.
If you desire to receive newsletter / non-critical e-mails from us.
If you prefer HTML e-mail format.
Captcha Input: