The Wyld Ones

________________________________________________________________________

________________________________________________________________________
1. Previous/Current Nicknames: *
(please list as many as possible)

_______________________________________________________________________

________________________________________________________________________
2. Current Email Address: *

_______________________________________________________________________

________________________________________________________________________
3. Current MSN Address:

_______________________________________________________________________

________________________________________________________________________
4. Current Hosting (Token)
nick if applicable:

_______________________________________________________________________

________________________________________________________________________
5. Nick You Wish To Use: *
(please note your nick must begin Wyld_ one underscore, capital W)

________________________________________________________________________

________________________________________________________________________
6. Date of Birth: *

MM
/
DD
/
YYYY

________________________________________________________________________

________________________________________________________________________
7. Why would you like to join our team?

_______________________________________________________________________

________________________________________________________________________
8. Do you agree to follow the Ways of the Wyld found at
www.thewyldones.com/ways.htm?
*
 Yes 
 No 

_______________________________________________________________________

________________________________________________________________________
9. Did one of the Wylds refer you and if yes who?

_______________________________________________________________________

________________________________________________________________________
10. Comments or Questions:

_______________________________________________________________________

Thanks again for your application.
Please contact us at thewyldones@hotmail.com with any further inquires.
Powered byEMF Contact Form
Report Abuse
www.thewyldones.com