U.E.M.A. Sign-up

Please fill out the following form as completely as possible to join the United Empires of the Middle Ages Medieval Reenactment Society.

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Name:
Email Address:	@
Street Address:
City:
State:
Zip Code:
Are you at least 18 years old?	If not, how old are you?
Telephone Number:
Persona Name:
AOL IM:
Yahoo IM:
ICQ UIN:
Comments: (Please include how you heard about the United Empires of the Middle Ages, and who most influenced your decision to join, if applicable.)

U.E.M.A. Sign-up

© 2000 United Empires of the Middle Ages. All rights under copyright reserved Address questions about this site to Web Minister.

© 2000 United Empires of the Middle Ages. All rights under copyright reserved
Address questions about this site to Web Minister.