Register Maverick - The Defiant Movers Society

MAVERICK REGISTRATION

Let’s setup your society access:

Maverick Membership Information

This information will be used to create your society log-in credentials:

Choose a Username:

First Name:

Last Name:

Email Address:

This is the email address that will be connected to your Society access, as well as be the primary email I use to contact you. Please use your best email address for this one so I can keep in touch and keep you updated.

Password:

Enter your chosen password. We're not going to make you include any uppercase, lowercase, number, symbol, emoji, or Latin characters, but please be sensible and make it at least 8 characters long.

Snail-Mail Contact Details

This information allows me to send you cool things in the mail that you might enjoy while on your journey to becoming a champion in business and defiance.

Please include an address below where you can receive large letters and parcels.

(P.S.- I won't turn up at your address unannounced - though if you ignore my update and accountability requests, there's no telling what I'll do, so be sure to stay on top of those, eh?!)

Address (Line 1)

Address (Line 2)

Town or City

State (if U.S. based)

Post Code or Zip Code

Country

Mobile Telephone Number (inc. country code)