2) Please tell me your email address: (Do not hit return)

3) Where do you want to live?
Torill Spearsly Galstrum Jefferson, CD (capital city/territory) Mershania Orchala Moberly Corrilla

4) Which political party do you wish to affiliate with?
Reagan Party (Conservative) Liberal Party Socialist Party Other
Indicate if other: (Do not hit return)

5) If you hold citizenship in another micronation, where? (Do not hit return)

6) Where did you hear about Vivaldia? (Optional) Do not hit return

7) Any comments? (Do not hit return)

Thank you for becoming a citizen of Vivaldia. We look forward to seeing you on our national scene!