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SHIPPING ADDRESS INFO
Membership Type *	The Official Paramore Fan Club Membership ($30.00 for one year) 1 Year Membership in the Paramore Fan Club (* Plus Shipping and Handling)
Payment System *	Online Credit Card Processing Visa and Mastercard Only
Your Name * Your First & Last name
Your E-Mail Address * Use this address to sign into the fan club AFTER you receive your confirmation email and follow the directions in the email.
Choose a Login Name (User ID) * This is what you will use to sign into the PFC Forum and Chat Room. It must be 5 or more characters in length and may only contain small letters, numbers and the underscore '_'
Choose a Password * Must be 6 or more characters, not contain the login name and may only contain small letters, numbers and the userscore '_'
Confirm your password * Enter password again
Enter Verification Text * Please type text from image
T-Shirt Size * T-Shirt Size for Paramore Fan Club shirt
Phone Number * Enter your Home/Mobile Phone number: U.S. Format: (312) 555-1212 Area code + full local number International Format: (044) 07700 954 321 Country code + full local number
Street*
City*
Country*
State*
ZIP*
COUPONS
Enter coupon code if you get any coupon code from advertising, please enter it here