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Personal Information

 Full Name:  
 Email Address:  
 Phone:  
  Phone with area code. ie: 555-555-1212
   Remote Address:   3.128.205.92
 
Account Information

 MUD/MU* Name:  
  Leave blank if undecided.
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  ie: yourname.genesismuds.com
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  Payment periods may be changed at the begining of any billing cycle.
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  The account name of the person that refered you. Blank if none.
 

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If you have questions, please e-mail us at sales@genesismuds.com, before you sign up.

 
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