1.   Please give us your real first name. (R)

     

2.   Please give us your WDC user name. This is the part that appears BEFORE the @writing.com in your WDC email address. Please do NOT enter your handle. (R)

     

3.   Please give us a valid, non-WDC EMail address that we can use to communicate with you should your WDC EMail be out of service. (R)

     

4.   Please tell us your gender. This avoids confusion with some first names. (R)

        Male
        Female

5.   Please tell us why you wish to become a member of this group. What would be a positive outcome for you? (R)

     

6.   Check this box to agree that you understand that your payment of 2500 GP is required at the time you submit this Application, and that upon acceptance to the group, your GPs are non-refundable. (R)

      Check this box to agree with the above statement.

7.   This survey requires the sending of Gift Points.
      The full payment of 2500 GPs must accompany this form. When your membership is approved, your GPs are non-refundable for any reason. Of course, we do accept and deeply appreciate any and all voluntary donations to our group fund.

      You currently have 0 Gift Points.
      Enter the number of Gift Points to be sent:
      Confirm this Gift Point amount by re-entering:
      (From a minimum of 100 to a maximum 250,000 Gift Points.)

Important: Gift Points included will be sent to "Invalid Item" . Writing.Com will deduct a fee of 5% for processing the transaction for group. Gift Points sent through this form are not refundable for any reason. Please use good judgement when sending Gift Points to any member or group.

Disclaimer: The information that you are submitting with this survey form is being sent to Budroe in 2012! . It is NOT being sent to Writing.Com. You should be careful to not submit any information which you may deem as private or confidential. Writing.Com and its affiliates will not and may not be held responsible or liable, in any way, for any damages that may or may not arise from your submission of this form.