Pipp
Well-Known Member
[align=left]RABBITS ONLINE SUPPORTERS FORM
SCREEN NAME:
EMAIL:
PAYMENT NAME:
PAYMENT METHOD: (please mark with an âxâ)
_ Subscription (package subscribers only)
_ Paypal
_ Cheque (please note the payer and payee names)
_ Other (please specify)
PAYMENT DATE: ___________________
SUBSCRIPTION CATEGORY: (please mark with an âxâ)
__ RO Friend ($10)
__ VIP ($25)
__ VIP Gold ($50)
__ VIP Platinum ($75)
and/or
DONATION:
_______ amount
Do You Want Your Name To Be Anonymous? (Note: anonymous supporters will not have access to the VIP Lounge or receive the forum âextrasâ including access to the VIP room, signatures, voting panels, graphics (rabbit models), etc). __ Yes __ No
Do You Want The Amount Of Your Donation to be Anonymous? __ Yes __ No
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SCREEN NAME:
EMAIL:
PAYMENT NAME:
PAYMENT METHOD: (please mark with an âxâ)
_ Subscription (package subscribers only)
_ Paypal
_ Cheque (please note the payer and payee names)
_ Other (please specify)
PAYMENT DATE: ___________________
SUBSCRIPTION CATEGORY: (please mark with an âxâ)
__ RO Friend ($10)
__ VIP ($25)
__ VIP Gold ($50)
__ VIP Platinum ($75)
and/or
DONATION:
_______ amount
Do You Want Your Name To Be Anonymous? (Note: anonymous supporters will not have access to the VIP Lounge or receive the forum âextrasâ including access to the VIP room, signatures, voting panels, graphics (rabbit models), etc). __ Yes __ No
Do You Want The Amount Of Your Donation to be Anonymous? __ Yes __ No
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