PHARTS Membership Application

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Fill in the simple form below and click "Submit".
We'll get back to you with your Membership Certificate!

 

Your NAME as You Wish It to Appear:
 Your E-MAIL ADDRESS:
Your WEBSITE (if applicable):



 

I sincerely submit my application for (choose PHARTS Membership):

Charter Pharter  Old Phart  Starter Pharter  Silent Phart

 

I hereby certify, on pain of having my toenails pulled out by a large guy named Bruno using a rusty pair of pliers, that the following conditions apply to my situation:

                        I can't hold down a regular job. *†‡
                        Some idiot once paid me for writing a piece of crap. *†
                        Incredibly, the piece was actually published. *†
                        I think I'm going senile, but I can't remember. †

                            * Required for Charter Pharter.
                            † Required for Old Phart.
                            ‡ Required for Starter Pharter and Silent Phart.

I furthermore acknowledge that the only way I can be released from membership is to pay off my dues marker in full.

          IOU the following amount for dues:

                        $357.28 (Charter Pharter/Starter Pharter/Silent Phart)
                        $356.98 (Old Phart - a Savings of 30 Cents!)

 

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