Fan Club Registration Form

Your Credit Card will be run separately from all merchandise orders.
Please fill out the form below COMPLETELY. Your card will ONLY be charged for your membership.
After you have ordered your membership, please return to the SHOP page if you would like to purchase merchandise.

Please sign me up as a member of the Official Michael Peterson Fan Club, I am aware that the access I am given is for me alone. I also understand that I will also be contacted if there are issues with my membership.

I, also, agree that I will not give out my username and password to anyone and realize that, if I do give it out, I can be banned from use of the online section. Should this occur, I understand that I will not receive a refund for the cost of my membership.

I am aware that the online section is solely for fan club members, is only a part of my membership, and is not guaranteed to be available 100% of the time.

I agree to the Terms and Conditions above.

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Customer Information
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First Name *

Last Name *

Address *

Address 2

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