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HELLFIRE
NEW MEMBERS SIGN-UP FORM |
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to load this form in SSL SECURE
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If you have any queries about this site that do not relate
to this signup system or accessing the members area, please contact
the Site Administrator.
CREDIT CARD STATEMENT:Please
note that your credit card will be charged in the name that appears
on our IMPRESSUM
IMPORTANT: The address you
enter below must be the same as the address where your credit card
statements are posted to.
HINT: If you find the fields to enter your information
below disappear, try minimising your web browser then returning and
they should show up clearly again. |
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Select Membership
Details
All prices are in EUROS. |
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Pick a sign-up period from the list below
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PLEASE CHOOSE CAREFULLY
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Credit card holder's
details
As they are printed on the credit card
being used here. |
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Title |
First Name |
Surname |
CCV |
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Card Type |
Card Number |
Email Address |
Card Expiry |
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Address & Account
Details
Must be the address where your credit card
statements are sent to |
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Unit, BOX or Street No. |
Street Name |
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Suburb & or City |
State and / or Province |
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Postal or Zip Code |
Country |
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Preferred Userid (6 to 15
characters)
Preferred Password (6 to 15 characters)
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Legal Affirmation and
Disclaimer
Please READ CAREFULLY before
proceeding
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TERMS AND CONDITIONS
(THE FINE
PRINT)
I hereby
swear that I have read and that I agree to all the terms and
conditions shown here and on the web page linked from above
and entitled TERMS AND CONDITIONS. I accept that by
deliberately breaching any terms or conditions of this
contract without prior written permission, that my account may
be closed or suspended until such time as a satisfactory
explanation is provided. If there are any terms or conditions
that I do not agree upon, and a compromise can not be reached,
then I WILL NOT PROCEED WITH THIS
TRANSACTION.
NOTE: This form is a
legally binding contract and becomes valid
once the SUBMIT ORDER BUTTON at the end of this page is
clicked. This contract is just as binding as any paper based
contract containing your hand written signature so please READ
CAREFULLY BEFORE PROCEEDING... |
GST
Information
The above prices include Australian GST.
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