Pai Gow Tiles - Printable Membership Form

PaiGow.com Membership Form

Required information (please print legibly):

Name:		_______________________________________________

Email address:		_______________________________________________

Optional information:

Street address:		_______________________________________________

		_______________________________________________

City:		_______________________________________________

State:		_______________________________________________

Postal code:		_______________________________________________

Country:		_______________________________________________

Select a User Name and a Password for yourself. You will use your User Name and Password to gain access to the members-only areas of PaiGow.com.

You may use your email address as your User Name if you wish. It's easy to remember, and it's unique.
Your Password must be between 6 and 12 characters. Use only letters and numbers, please. Also don't use spaces in your User Name or Password.
Your User Name and Password are case-sensitive, which means you must remember the capitalization. "JohnSmith" is not the same as "johnsmith"

User Name:		_______________________________________________

Password:		_______________________________________________

Understandings:

You agree not to give your User Name/Password combination to anyone. If someone else has that information, he will be able to change your Password, and then you won't be able to access the members-only sections any more.

Since PaiGow.com charges for information that is completely available to you immediately when you join, PaiGow.com does not offer refunds.

Copying and using the information on PaiGow.com is a violation of our registered copyright.

Sign:

Your signature: __________________________________________

Mail this form, with a check or money order for $595.00 U.S. dollars, to:

PaiGow.com
7640 Pacific Street
Omaha, Nebraska 68114-5421
U.S.A.

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