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Empire Enrollment Form.

Welcome to my Enrollment page, all I ask it that you take 5 mins of your time to fill out the Enrollment form and sign my guestbook on the Join up page!.

Thankyou,

regards Kiwi


Full Name:

Gender:

(Birthday reasons only) Date of Birth:

Age Range:

Country of residence:

Email Address:

How would you rate our Empire?:
Excellent: Very good: Good: Ok: Notbad: bad: Absolute Crap:

Comments about the Empire:

Recommandations to the Empire.

Copyright Kiwi's ULTIMATE Empire 1998

Email: kiwiempire@postmaster.co.uk