Assuming you have accepted the vows of the previous page, fill out the forms below and become a member. Why? Member don't really get anything special...




Name:
Email Address:
Phone:
Street Address:
Friends and Family's Street Addresses:
Times which you or they may not be home:
Do you own any large and possibly vicious animals?
Social Security Number:
Do you own a credit card?
If so what kind (if the above answered no, reply N/A):
What is the card's number? (this is for filing purposes...if the above was N/A replys same for this)
What are you willing to give up for the crazy cult?
Why? (if the above answer was nothing reply N/A and may the koala goddesses have mercy on your pitiful soul)

Any last words?