WANKLAND  POSTAL MEMBERSHIP SUBSCRIPTION FORM
SHARPEDEZINE CUSTOMER SERVICES
P.O. BOX 12994
MIDLOTHIAN
EH22 4YR, UK

Membership fee is payable in US Dollars (cash only) and amounts to US$50 for one year access. ( we do NOT accept checks or money orders!)

PLEASE TYPE into the 4 boxes below, print the form, sign it and mail it along with the membership fee to us at the above address.

Your E-Mail Address:
Your Name:
Desired Username:

(minimum 6 alphanumeric characters)
Desired Password:

(minimum 6 alphanumeric characters)

By signing this form you hereby represent and warrant that the following statements are true:

Further to the above, signing this form shall constitute an implicit acceptance of the agreement/disclaimer posted on the www.wankland.com website's main page.

 

Sign Here:                                        _________________________________________

 

Please e-mail webmaster@wankland.com in order for us to activate your account as soon as payment is received.