Virtual Fan Club Registration Form

Please fill up this form before the deadline and make sure to read the rules of the club.

Registration Date

Date

Name

First NameLast Name

Age

Date of Birth

Date

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Nationality

Reason for Joining

Which do you prefer for online or virtual meetings?

Fun ways to participate (Select all that apply)

Free

Exclusive content

Free

Bronze

Exclusive content 10% discount on merchandise

$50.00

Silver

Exclusive content 30% discount on merchandise Free ticket to 1 event

$100.00

Gold

Exclusive content 50% discount on merchandise Free ticket to 3 events Automatic reservation

$150.00

Total

Payment Method

How did you hear about us?

Would you like to receive email coming from the club?

Applicant's Signature

Date Signed

Date

Thank you for joining the club!