KW Membership: Online Sign-Up

	Membership On-Line Application
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Home Member Open Mic Membership Information On-line Membership Application Printer Friendly Membership Application in PDF Add Family Member Bring Guests Change Address Membership Guidelines Questions & Answers Volunteer Information Become Sponsor KW T-Shirts for Members	Contact Information
	First Name: Last Name: E-mail: Telephone: Address: City: State: Zip:
	How did you hear/learn about Kulak's Woodshed? Please choose one. My favorite type of music is Please choose your age group. Please choose why you're interest in KW. I'll submit $5 life-time membership fee via
	What date do you plan to visit Kulak's Woodshed?
	If you'd like to add family members, please put their names here.
	Please write comments here.
	Agreement I hereby declare that the information on this form is correct. By signing this application form I agree to the following: 1. I Agree to be bound by the KW's rules and regulations - my membership can be revoked if I do not comply. 2. A fee of $5 for life time membership and $1 for each replacement card. Please see below for Payment Methods. 3. Membership does not guarantee entry to the club. 4. The card is not transferable. 5. Membership is granted at the discretion of the management. 6. KW reserves the right to change the terms of membership at any time.
	Yes, I agree. Today's date:

	Payment Method Life-Time Membership fee is only $5.00. Send a check to: Kulak's Woodshed Attn: Membership 5230 1/2 Laurel Canyon Blvd. North Hollywood, CA 91607 or PayPal Click the Buy Now button to use PayPal (accept Credit Cards)