Please fill out the following form for your exclusive VIB items. Your Name (required) Your Email (required) Phone: (required) Mailing Address: (all fields required) Address: City: State or Province: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIABBCMBNBNLNTNSNUONPEQCSKYT Zip or Postal Code: Country: Shirt size: (required) Size: SMLXL2XL Color: white only Please list any special instructions. After submitting your information, take these steps to complete your membership: Send a head to barefoot photo, just of yourself, to firstname.lastname@example.org. Photos must be against a high contrast background and 105w x 216h, 72dpi. If needed, use the free photo editing software. Go to the donations page, select $49.95, and complete the form.