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Membership Application

This is the application for membership in The Palace Society. Be sure to fill it out completely and accurately. The Character Information is who you want to be portrayed as in the Society. It doesn't neccessarily have to match your character representation image. Once you submit your application, be sure to select a logo and place it in an easy-to-find area. Also send your character representation to me.

Character Information (visible to everyone)
Name (ex: Tuxedo TwO):
E-Mail Address (ex: name@aol.com):
Location (ex: Crystal Tokyo):
Character B'day (ex: April 4, 2014):
Character's Special Powers:
Character Interests:
Website Title:
Website URL:
Briefly Describe Your Site
Real Information (only I see it)
Real Name (ex: Chris Fannin):
Real B'day (ex: August 15, 1979):
Sex (Male or Female):
Real Address:
Address, Line #2:
City, State, ZIP:
Check off all your interests. They will determine what type of prize you get if you win.
Books: Fiction Computers: Graphic Arts Music: Country Comics
Books: Non-Fiction Computers: Word Processing Music: R&B/Rap Console Gaming
Books: Horror Computers: Web Design Music: Rock Concerts
Books: Fantasy Computers: Programming Music: Techno Dining Out
Books: Sci-Fi Computers: Other Music: Soundtrack Movie Theaters
Books: Other Music: Alternative Music: Other Shopping
Computers: Gaming Music: Classical Toys (all types)
Other Interests (that aren't listed):
Type of Computer, Operating System, Processor, Video Resolution:
Anything else I should know or you want to say?
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Tuxedo TwO
Most Content 1999 Chromium Enterprises
Site Created and Maintained by Tuxedo TwO
Created on February 10, 1999 - Original on 8/30/98

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