ENLISTMENT APPLICATION

ENLISTMENT APPLICATION

Please complete the following to join the ROCKETPUNK SPACE PATROL.
Real Name*

Given Name(s)Family Name
Date of Birth*

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Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Facebook Identity
Teams interested in (select all that apply)*

Rocketpunk Space Patrol (general Sci-fi)Aliens/Predator (USCSS Nan-Shan)Cthulhu Mythos (Delta Green - Cell Ð)The Orville (USS Ninomiya / ECV-181)Spy-fi (Agents of UNISON)Stargate (SG-8)Star Trek, Stafleet (Starship Kaga)Star Trek, Klingon (Battlecruiser Adjudicator)Star Wars (Beskar Squadron)Other
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