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Fan Club
Membership Form
    Login information
Login name to use *  max 15 characters, no spaces
Password *  max 15 characters, no spaces
Note: your password is case sensitive! If you are editing an existing membership and you do not want to change the password, leave it blank.
    Mail Preferences
   I wish to receive the occasional e-mailed Fan Club Newsletter
   I wish to receive acknowledgements and replies
       (for example, for Forum replies)

Note: regardless of selection above, you will receive acknowledgements for membership changes

    Member information
First Name *  Last Name *
Please enter your real first and last name, no handles or screen names accepted.
E-Mail Address *
Check for accuracy!
    Your location
For security reasons, a VALID mailing address is required.  Memberships entered without it or with incomplete information will be removed without notice.
Street Address 1 *
Address 2
City * , State * 
Postal Code

Country: United States <-- Select and change if incorrect

    Optional Website information
Do YOU have a related Website?  If so, enter full information about it here.  In order for your site to appear on the Links page, ALL fields below are required, subject to approval.  Please be sure your site is one of the types listed before you include it.
My Website Name
My Site Address http://
My Site Type
My Site Description
Show my site on Links page?   (subject to approval)
Security Code
    * All fields are required unless noted otherwise
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