Membership Form

Genuine Westliferz Philippines:
The Home of the Legit Filipino Westlifers

A. Basic Information

Full Name:
Codename:
Location:
Birthday:
Age:
Email Address:
Twitter:
CP Number:
Recruiter:

B. Fanatical Information
(note: Enumerate 2 to 3 only for favorites)

Fan since:
Lad/s:
Album/s:
Tour/s:
Song/s:
Music video/s:

For verification, you can copy and filled up this information and send it to Marika Mariñas via Facebook message.