We very strongly suggest you complete your application in a word processor before transferring it to this form. If you don't, I hope your computer crashes so that I can laugh at you.
Also note that this application form is also your registration for the Vindicatum forums. You MUST activate the account from your registered e-mail address immediately after filling out the form or we will not be able to contact you.
All fields labelled (Required) must be completed before the form is submitted.