Amanda Holden Form

Amanda Membership Application

Please fill out all the questions to apply for membership.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
example@example.com
Number
Membership subscription
prevnext( X )
5 month silver premium BENEFITS: * Texting * Access to private number * meet and greet,/Exclusive gift items and laminate * One free ticket * Dedicated entrance * Free ticket to 1 event *live video
$350.00

1 year Gold premium BENEFITS: * Texting * Access to private number * Exclusive gift items and laminate * One free ticket * Private meet and greet *video calls *Dedicated entrance * Exclusive content * 30% discount on merchandise * Free ticket to 1 event
$1,300.00
Payment Method

PayPal methodGift cardcash appothers
Date of Signature*

MonthDayYear
Date
Signature*

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Amanda Membership Application