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*Dog Soldiers* a wing of the \Banana Klan/ 
Membership Application

You must have an ICQ account before submitting this form. You may have multiple ICQ accounts, and we recommend that you have an ICQ account for the exclusive use of \BK/.  Applications received without a valid ICQ number will be discarded.

Minimum age to join \BK/ is 13 years old.
Select persons ages 11 and 12 may apply to the Command Authority for an age waiver (Provisional Member). - C.O.


Click the above to get ICQ
NAME: Last, First (REQUIRED)  

EMAIL (REQUIRED)  

ICQ# (REQUIRED)  

ADDRESS:
City   
State (REQUIRED) 
PREFERRED CALL SIGN  (REQUIRED)  


BIRTHDATE (REQUIRED)
Month Day Year