December Birthdays !

Are you born in the month of December ?
Well ,let us know if you are !
We want to list you in our December issue of Zorpia Magazine's "Zorpian B'days" section .
Fill in this form below :-
Name :___________
Username :___________
D.O.B. :_D_/_M_/_Y_

*POST YOUR COMPLETED FORM HERE !*
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NOTE:!*WE ONLY FEATURE ZORPIANS THAT JOINED THIS GROUP*
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Do you know a friend of yours who was born in the month of December ?
If you do and if she/he isn't in our Zorpia Magazine Group PLEASE tell her/him to Join in
order for us to feature them.
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IF YOU HAVE ANY QUESTION(s) FEEL FREE TO ASK .
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With Love,
Zorpia Magazine -