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NOX membership application

for a quick help visit FAQ

enter your information:

 Family Name : First Name :

Address/Town :  ZIP :

Country :  Tel :  

Fax : Email :

Username :  Birthdate : (day/month/year)

choose a login password : (only alphabetic and numeric letters!)
retype your password :


Your information will be kept confidential, only members of NOX may contact you by E-mail

answer a few questions :

I want my free membership card :

I use the following instant messengers :

ICQ
MSN MESSENGER
YAHOO MESSENGER

I stay for the NOX-Satanic-Statements :

yes, I confirm having read the NOX-Satanic-Statements and accept all.
no, I dont accept all NOX-Satanic-Statements but I wish to join.

NOX-SATANIC-STATEMENTS

In which other Satanic Church do you have membership ? :

what is your job? :

(your membership will be confirmed in the same week if all the fields are filled out correctly. )

Contact for information: founder of N[()]X

Please enter your correct information, N(())X is a serious organisation

respect us & we respect you

 

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