The Westland Mor Webpage
Personal Info Permission Form

Name: 	           __________________________________________________

SCA Name: 	   __________________________________________________

Street Address:    __________________________________________________

City, State, Zip:  __________________________________________________

Phone #: 	   __________________________________________________

Email (Primary):   __________________________________________________

Email (Secondary): __________________________________________________

Webpage Address:   __________________________________________________

Interests (Optional):
Please limit the list to ten items or less. 

Persona History (Optional):
Please limit your entry to approximately five sentences. 

I, _________________________________ do hereby give the current webmaster of the Westland 
Mor Webpage, permission to publish the above given information in the following manner:

        SCA Info which will published with *ALL* entries:

        (X) SCA Name
        (X) Order of Precedence
        (X) Registered Armory

        Public Domesday Boke

        (   ) Photograph

        (   ) Modern Name

        (   ) Street Address

        (   ) City, State, Zip

        (   ) Phone Number

        (   ) Email (Primary)

        (   ) Email (Secondary)

        (   ) Webpage Address

        (X) Interests
        (X) Persona History