Date: Chat Name:
Age:
Name:
Email:
Are you in a group now?:Yes No
Why do you want to leave that group?:
who recruited you:
How long have u been online: months years
What is Your Experience Level:newbie Novice Advanced
How Did You Find Out About This Group:
What special talents: (I.E.) Counseling, Programming, Hacking, Cracking ETC do you have?:
What do you expect from the group?:
What can you offer the group?:
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