www.BATTLEON.com
AdventureQuest Guardian Donation

If you would like to become a Guardian Sponsor of the AdventureQuest webgame and send your payment via mail, please print out and mail in this form with your payment of $12 US.

Your Information
User Name:
 ________________________________________
Character Name:
 ________________________________________
Email Address:
 ________________________________________
Note: Your email address will be used to confirm your donation.
Payment Information
Make checks payable to:
 Adam Bohn
Amount:
 $12 US
Send to:
 P.O. 2005
Land O' Lakes, FL, 34639
USA
Note: Make a copy of this form for your records. Email Artix@BattleOn.com for questions about the status of your Guardian Donation. See www.BattleOn.com for details about the perks of Guardian Sponsorship.