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VIP Membership application form

VIP members will be the first to hear about promotional discounts, free give aways and other benefits.

As a VIP member you choose if you would like your name shown on the visitors book (optional) or email distribution list (optional).

Your details Comments
First Name Mandatory
Last Name Mandatory
Email Address Mandatory
How did you hear about Ollie-Ink? Mandatory
Which Friend / Search Engine / Site? Optional - Details help us to reward referrers
Address Optional
Suburb/City Optional
Postcode Optional
Country Optional
Telephone Optional
Mobile Optional
Gender Optional
Mail List Select Yes to receive periodic email newsletter.
Visitor Book Select Yes to have your name displayed on the visitor book.
Validation messages:

Please send Ollie an email if you have problems with the form: ollie@ollie-ink.com
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Act for Kids

Ollie-Ink will donate 10c per Fan to ACT for Kids! Suggest Oll-Doll to your Friends!