Welcome

Join DMR VIP Today!, Subscriber Application Form

 

Please use the following form to apply to become a Dance Music Remixed VIP subscriber.
(We aim to reply within 24 hours to confirm if your application is successful)

 
 

Full Name*

Are you a DJ?* (Subscription is for DJs only)
 Yes No

(Preferred) Username*

Email Address*

Paypal Email Address* (You wont be charged automatically by entering your PayPal email address)

Subscription Period* (This will be a non-recurring subscription)
 1 Month - £12.99/$19.99 3 Months - £29.99/$44.99 6 Months - £54.99/$84.99

Referral (Username of existing subscriber)

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