The Heartlandic Confederation Citizen Census
If you have more than one persona living in the Province of the Petra or the Province of Aaun, please fill out one version of this form for each persona.
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IGN *
Full name *
Province *
Address *
Age *
Race *
Do you work in the Heartlandic Confederation *
If you answered "Yes" to the above, where do you work?
Which of the following institutions in the Heartlandic Confederation interest you most? *
Required
Discord 
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