ALLIES Application

Write the ALLIES Member you know, your Invite Code, or the person who gave you an ALLIES Gift Card below. If you don't have any of these, you can e-mail Assist@InvincibleAllies.com to inquire about membership*

Name*

First NameLast Name

Email*

Phone Number*

Please enter a valid phone number.

Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code

Physical Location- City and State*

Are you a US citizen, or a US resident alien?*

Birthdate*

Must be 21 to join

Is it ok for us to announce your birthday to all members?*

Do you have an account with the Discord app, or are you willing to create an account for ALLIES purposes, and are you willing to share your handle with all ALLIES Members?*

Write at least one personal goal you have*

Membership Initial Fee

$15 per month, beginning one month from today, will be auto-debited from this payment method for your continued ALLIES Membership until cancelled by you by contacting Assist@InvincibleAllies.com, and you can cancel anytime. If your application is denied, you will receive a full refund in 5-10 business days

$30.00

Total

$0.00

Credit/Debit Card Details
First Name	Last Name
Credit/Debit Card Number	Security Code
Card Expiration