Bajoran Coalition

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BAJORAN COALITION
c/o Krysta Lynn Cascio 14730 NW 6 Ct. Miami, FL 33168-3141

Bajoran Coalition Membership Application
To join the Bajoran Coalition you will need to fill out a membership application. You can do this one of two ways. You can either e-mail or ground mail the form.

To apply by e-mail fill out the following form and submit:


Membership Application

BAJORAN COALITION
MEMBERSHIP APPLICATION
Yes, I want to join.

I will send a check or money order within 30 days in the amount of:
$10 US or Canada.
$15 Overseas.
Payment must be in US funds.
Make payable to Chris Cascio and mail to the club address at the top of the page.
My choice of membership is:

Undecided. I may choose at a later date.
Bajoran Militia
Bajoran Religious Order
Civilian Status
Reserve Status
No, I do not wish to join now.

Please send me more information.
Name:
 Persona:
Address (line 1):
 Date of Birth:
Address (line 2):
 Sex:
City:
 State:
 Phone(s):
Zip:
 Country:
 Email:
Additional Info:

Membership Application
To apply by ground mail, you must follow these three easy steps:

1. Click here to open another window with the membership application.

2. Now go to that window and click on either the print icon in your browser or select print from the file menu.

3. Finally, fill out the application and mail it.

Membership Application

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