Member Registration Page

Pinoy Body Arts Prestige Club Registration Form

All Fields with * are Required

Full Name *
Username * Used for login and webmail (if applicable)
Choose Password *
Nick Name *
Gender *
Civil Status *
Date of Birth (mm/dd/yyyy) *
Studio/Shop Name *
Address *
City/Town, Province *
Country
Specialties:Tattoo/ Body Piercing ArtistBody Paint/Temporary Tattoo ArtistPermanent Make-Up ArtistBody Arts Fan/Enthusiast
Current Affiliation/Organization
Member Since Enter Joining Year
Email Address *
Website (If any)
Picture (Required for ID Processing) *Please attach a jpg or gif photo file for ID processing
Phone Number * Enter your contact number

Payment Options * Please choose your preferred Payment Option for Annual Membership Fee
Member T-Shirt Size *

Type the following: For security purposes, please type the letters in the image.
Please read activation instructions carefully after submission of this form.