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The Psion Guild
Thank you for showing your interest in joining the Psion Guild. Please fill out the following form in order to register yourself as a member. By doing so, you agree to abide by the Guild Code of Conduct.

Membership is voluntary, and any information collected will be used only by the Psion Guild, accessible only by authorized Guild Administration and solely for administrative tasks. It will not be released to any third party without your express written permission, or that of your parent or guardian.

By submitting this form, you testify that you are 13 years of age or older, that the information you are submitting is true, and that you understand and accept the conditions under which you release this information. Furthermore, you testify that if you are under 18 years of age, that you have parental consent to register for membership.

The following information will be considered "personal information," and will not be released to any third parties or used in any manner not in accordance with the Psion Guild's privacy policy.

* Note: If you already have a forum account, you can enter your forum username and password in the boxes below, and you will automatically be logged in to the forums. Your existing forum account will then be tied to your member account.

Last Name: First Name: Middle Initial:

Date of Birth

Month: Day: Year:

Address:

City
State/Province Country Zip

Day-Time Phone:
Night-Time Phone: Cell Phone:
() - () - () -
Username:Password:E-mail:
Fields of Interest:
How Affiliated:
I have read and understand the member registration agreement, all information provided is true, and I agree to abide by the :

(Under 18 only) I am thirteen years of age or older, and I have parental consent to view and register for the Psion Guild:

I don't have a phone number.
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