Welcome to the Member Registration Page!

Membership on Accidental Centaurs.com has it's privleges, but to get them, you need to register first! By registering, you will be able to become a patron and participate in the benefits of patronage. Please fill out the form below. Your information will be kept in strictest confidentiality, and will only be used to contact you regarding your Accidental Centaurs membership.

Please submit your information only once. Your account will be activated as soon as possible.

If you have a promotion code, please enter it as well.

Account Data

User Name:		Enter your login name and password You'll need these to login to the site and access your patron privleges.
Desired Password:
Real First Name:		Enter your real name here. We'll need this for sending you patron items via mail.
Real Last Name:
Address 1:		Enter your physical address. We'll need this for sending you patron items via mail. Members outside the United States and Canada should put their city, country and postal code information in this area.
Address 2:
Address 3:
City:		Enter your city, state/province and ZIP/postal code. We'll need this for sending you patron items via mail. This is for members in the United States and Canada only.
State/Province:
ZIP/Postal Code:
Contact Email:		Enter your main email address. This will be used primarily for contacting you concerning your account.
PayPal Email:		Enter your PayPal email address (if you have one). This will only ever be used for billing purposes and for awarding referral bonuses.
User Level:	Unregistered	This information about your account is not editable. Your membership level and expiration date are provided for your benefit.
Expiration date:	2010-09-08
Member since:	2010-09-08
Membership Status:	Inactive

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