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Questions marked with a * are required Exit Survey
 
 
* Do You Want a Blacklong?
 
No
 
Yes
 
 
 
* Do you want a year of membership?
 
No
 
Yes
 
 
 
* How many gems do you want? 1-1,000,000 anything more we can't do
   
 
 
 
* How many dimonds do you want? 1-1,000,000
   
 
 
 
Want anymore rares or items put here!
   
 
 
 
* Last: Please put you username and passowrd below! ( Or we will not be able to give you your stuff)