Cardholder information – collection

Congratulations on becoming a member of The Niner Empire!

Let’s get your membership card personalized before we get it printed and mail it out to you.

Please fill out the following membership information which we will use to contact you in the event of winnings/prizes, etc..

YOUR MEMBERSHIP ID CARD

    1. YOUR ID CARD INFO

    • YOUR ID CARD PICTURE

  • - NAME IT BEFORE UPLOADING To avoid confusion, make sure your name is associated with the image you are using.
    GOOD EXAMPLE : john_doe.jpg
    BAD EXAMPLE : image023.jpg

    • RECOGNIZING YOUR CLUB/CHAPTER ON ID CARD

 

Mailing Address

    YOUR MEMBERSHIP ID CARD WILL BE MAILED HERE

  • Please fill your name and address where you would like your membership card mailed to. This will also be the address we will use for future Niner Empire info and any winnings from upcoming giveaways or drawings that may be coming to you.
 

Direct Contact

    BEST WAY TO REACH YOU ABOUT WINNINGS OR GIVEAWAYS

 

Shirt Size

 

Before Submitting

 

Verification