VIP Item Request Form - MES WtA
Before using this form, please read the VIP Chart for the MES Werewolf the Apocalypse Venue (https://goo.gl/d34vS9)

You may only submit ONE VIP item at a time. Each additional VIP purchase will require you to fill out the form an additional time.

Email address *
Player Name *
Your answer
Player MES Number *
Your answer
VST Email *
Your answer
Domain Coordinator Email *
Your answer
By selecting yes, you confirm that you have the appropriate amount of VIP Points required for the Item you are requesting. Willfully spending VIP Points that you do not have may result in disciplinary action. *
DO NOT ANSWER THIS QUESTION
Leave this blank - for ST use only
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Mind's Eye Society, a Camarilla(tm) Fan Club. Report Abuse - Terms of Service