All prompts with * beside them you are REQUIRED to answer.
I will not be sending you a notification that you have been added, so be sure to check back after the next update. If I have not added you, please re-submit the form.

* name:
* country:
URL (code location):
Fave Pop song (max 1):

Any comments?

Need to change your information? Just re-fill out the above form, and mention your #ID and that your are updating your info in the comments section. :)

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