First Name
Last Name
Email Address
Address
City and State
Telephone
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Flash Required
Flash Required
Dislcaimer: KIDS PLEASE GET YOUR PARENTS PERMISSION
BEFORE SENDING IN THIS FORM!
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Zip Code
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I agree my above named son/daughter can become a member of The Alexis McDougal International Kids Club. I understand that the information submitted will be used for the sole purposes of forwarding information with regard to the club, its activities, special prizes, offers and discounts. Universal Messengers, LLC the publishing company for Alexis McDougal acknowledges the privacy of the Alexis McDougal International Kids Club members and will not sell, trade or release the information received.
I Agree