So!
You have decided to join us,
Or perhaps you need more information?

Then do us the Honor of filling out this form.
We WILL find you!!

For Honor and the Empire!

**NOTICE...this form is for Joining my Cyber Ship!..if you wish to join a KAG ship near you, please klick HERE and this will take you to the main KAG website.

Please enter what Humans call you (Name):

Your Klingon Name:

Your e-mail address:

Your Address:

City:

State:

Zip/Postal Code:

Would you like to become a member of my ELINT (Virtual) Ship?:

YES!
NO

Date of Birth: (DD/MM/YY):

Phone:

Age:

Do you Speak tlhIngan Hol?:

YES!
SOME
NO

Any special interests, skills, other Clubs or questions: No Comment

tlhIngan maH!

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