--------------------*Print it out, fill it out, mail it out!*-------------------------
( or email it to whiplashcrew@hotmail.com )

*Whipl@$H Crew Street Team Application*

Hello! Thank you for your interest in the Whipl@$H street team. In order to become a full-fledged member of this group, subject to all the privileges and rights thereof, you must fill out and return the following registration form. Make sure to complete each section of the form in the most thorough manner possible. The extra work will demonstrate to us that you are dedicated to the task at hand and to the promotion of our band! So please, take the time to fill out the form found below and we promise it will be worth it! If you show us that you work hard, going above and beyond the call of duty, you will be entered into contests to win Whipl@$H merchandise! So get crackin' kiddos!!!

Name : ______________________________________________________________

Address :_____________________________________________________________

Phone : ______________________________________________________________

E-mail : ______________________________________________________________

Age :________________________________________________________________

Do you have access to a car(?): ______________________________________________

T-shirt size :___________________________________________________________

1. Below, please list as many cool record stores in your area that carry punk/ska/emo music. Make sure to include their full address (with zip code!) and phone number and/or e-mail address. When we send you free stuff, we want you to have them listen to us, and then ask them if they'd like to sell our stuff there.

a._________________________________________________

b._________________________________________________

c._________________________________________________

d._________________________________________________

e._________________________________________________

2. Now, give us a list of good concert venues in your area, or those that are within a reasonable distance, that put on punk/ska/emo shows. Include their address and phone number/e-mail address also. Be sure to put in a good word for us/set us up some shows.

a._________________________________________________

b._________________________________________________

c._________________________________________________

d._________________________________________________

e._________________________________________________

3. Tell kids about our websites:

http://www.seewhiplashrun.com

http://www.mp3.com/whiplashcrew

4. If you like us, why not make a fan site for us? If you do, make sure to give us a link so we can post it!

Thanks again for your help, and we hope to be working with you soon!!!

Whipl@$H Crew

5316 Lyndell Ave. Portage, IN 46368 (1.219.763.3518)

E-mail: whiplashcrew@hotmail.com