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Revision of Honorary Membership Application Form from Sat, 01/09/2007 - 12:19
If you would like to become an IPX Honorary Member, please copy the below Application form into an Email and send it to [email protected] for the IPX founding members to review
TEAM IPX HONORARY MEMBERSHIP FORM
Real Name:
Alias/Handle:
Email Address:
Requested Jersey Number:(Select three in order of preference)
Age:
Sex:
Location:
Personal Website:
IPX know me from:
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I would like to join IPX because:
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IPX would benefit from me Joining the Honorary Membership Ranks because:
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I would make following suggestions to benefit IPX:
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My Mortal Enemy is and Why:
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I benefit from the following by joining IPX:
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I have read and accepted all of the rules in the IPX rule book
Yes / No
Yes / No