Template:Forumheader/User Rights Requests

What User Right are you requesting (Options are Bureaucrat, Administrator, Content Moderator, Discussion Moderator, and Rollback)?

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How long have you been editing on the wiki?

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How many edits have you made on this wiki?

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When was the last time you edited?

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When was the last time you received a User Right?

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Other info (optional):

Signature (use four tildes):