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Join the Phoenix Militia!

Here I will make a web application for other FFXI'ers who wish to join the army. It will be sent to me and Gavin. He will accept them and add them to the newsletter while I will enroll them onto the site once they are accepted.
What is your first name?
What is your last name?
What is your e-mail address?
What is your characters first name?
What is your characters last name?
What is your characters title? (ex. - paladin or black knight)                      
What is your AIM Screen Name?

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