At first, you should get to Laughing Skull Orcs - Honored,and you can exchange Tickle Totem from Vendor: Kil'rip in Trading Post by spending 1250 gold.
1.You will get Tickle Totem.
2.You need to provide your account.
3.Your character needs to be lvl 50.
4.Estimated time: 1day.
$29.99
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Kindly Reminder:Possible account termination when using illegal
leveling or illegally obtained gold.