KULIK'S KREW MEMBERSHIP APPLICATION

KULIK'S KREW 2003 MEMBERSHIP APPLICATION

Fill out this form COMPLETELY. This information will be kept confidential and used only for the purposes of Kulik's Krew record keeping and communications. Incomplete forms will delay the processing of your membership.

GIFT MEMBERSHIPS: If you are purchasing this membership as a gift for another person please click here to contact our membership chairperson who will work directly with you.

Name:

Last
First
Middle
Nickname or Krew name
Birthday (month and day)

Complete mailing address:

Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

E-MAIL ADDRESS: List ALL e-mail addresses. E-mail #1 address will be used on the mailing list, message board and for any other method to gain access to Krew-only areas. E-mail #2 will only be used as a backup in the event that a problem occurs with E-mail1. Addresses NOT listed on this form will be denied access to these areas. Notify the Krew of any changes via the P.O. Box or the website.

E-mail1

E-mail2

Check here if you do not have access to the internet through home, school, friends, etc.

AOL IM ICQ (if applicable)

List any special talents you have that would be helpful for Krew committees (computer skills, writing articles, searching internet for info, assistance with website, etc.);

Choosing and Pricing Your Membership(s) :

Primary Membership:

Choose the right membership that's right for you.

*The additional cost for the newsletter covers the printing an mailing costs.

Associate/Family Memberships:

Associate memberships are limited to additional persons residing at the same address as the primary member. Associates members will receive full Krew privileges and materials.

Number of Associate Members:

Names and birthdays of Associates Members: