Payment Details: ( WRITE THESE DOWN NOW )

Account number: 02-0874-0077033-001
Particulars: First name
Code: Last name
Reference: MEMBERSHIP (Cos you're paying for membership)

Welcome to the best club on campus. Take a seat and listen with your ears and your heart.
Speaking of hearts, I hate to break yours, but I need you to answer a few questions;

First name *
Your answer
Last name *
Your answer
Email address *
Your answer
Student ID
Your answer
Phone Number *
Your answer
Payment *
Personal question. *
Do you agree to follow the club rules and not be a dick and break or steal stuff? *
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