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The Empire - Membership Application
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Username
Your Username. |
Unregistered |
What is your Terran name?
Please enter your real name here. |
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What is your Klingon name?
Please enter your persona's first name here. |
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What is your Klingon House, if any?
Please enter the name of your House or Line, if you belong to one. |
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What is your email?
Please enter your real email here. |
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Street Address
Please enter your street number and name here. |
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City
Please enter the name of the city in which you live here. |
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State
Please enter the name of the state or territory in which you live here. |
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Country
Please enter the name of the country in which you live here. |
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Postal Code
Please enter your postal code (zip code) here. |
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What is your phone number?
Please enter your phone number here (optional). |
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What is your chapter affiliation, if any?
Please list ships and other organizations to which you belong. |
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What is your chapter's website, if any?
Please enter the URL to your chapter's website here. |
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Who referred you to The Empire?
Please list those people who gave you the url or contact information about The Empire fan organization. |
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What is your gender?
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Do you need information about joining a Klingon House?
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Which branches from the list below interest you?
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Check all that apply!
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Military Arm of The Empire. (Military Starships, Marines, Starbases, etc.
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Civilian aspects of The Empire. (Academics, Civilian Government, Clergy, Private Community such as General Contractors, Merchants, Etc.)
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Guilds of The Empire. (Weapons, Costuming, Arts, etc.)
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Alien Brotherhoods of The Empire. (Andorian-specific affiliations, etc.)
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Personal or Persona information.
Please give us any information about you or your persona that may be of help or interest to the group. |
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