Celebrity Fan Card Registration

First Name *

Last Name *

Email Address *

Phone Number

Address *

Apartment, Suite, etc.

City *

State/Province *

ZIP/Postal Code *

Country *

Name of Celebrity *

Fan Card Tier *

PREMIUM

Basic Access

$200/year

GOLD

Exclusive Content

$300/year

VIP

Priority Access

$400/year

VVIP

All Access Pass

$500/year

Upload Your Photo *

JPEG or PNG, Max 5MB

Photo preview