Membership Checkout – Rintaki Anime Club Society

Membership Information

You have selected the REGULAR (YEARLY) membership level.

The price for membership is $45.00 per Year.

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First Name

Last Name

Date of Birth

Phone Number

Email Address

Street Address

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Available Times & Days

Alias or Nick Name

Shirt Size

Favorite Anime Series

Favorite Manga Series

First Name

Last Name

Address 1

Address 2

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Phone

Card Number

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