| Basic information | |
|---|---|
| Merwolfpacklist Name:(Required) | |
| Real Name: | |
| Email Address: | |
| Where do you howl (hail?) from? | |
| City: | |
| State/Province: |
If you do not live in the U.S.A., leave the popup blank and fill in the name of your state or province here: Use whatever common postal abbreviation applies. |
| Country: | |
| Additional ways to contact you | |
| Additional Email address: | |
| Delphi Name: | |
| Mplayer Name: | |
| Talkcity Name: | |
| AOL/AIM Name: | |
| ICQ#: | |
| Web page: | |