Membership Form

NONE > KAOS Membership

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Email *

Household Members

(For memberships at $100 level and above)

Price *

Dollars

Method of Payment

Check Money Order Bill me (To pay in full by check or money order)

CD categories

If your contribution is $60 or more, you may choose one CD (two if pledging $100, four at $150, six at $200, and twelve if joining at the $365 level) from the following categories. Please indicate your preferred genre:

Additional genre choice(s)

KAOS Tote Bag

If your contribution is above $60, then you may request a tote bag instead of a T-shirt. All contributions of $150 and above receive both a KAOS T-Shirt and Tote Bag (while supplies last). Please click the appropriate boxes if your contribution is $150 and above.

Tote Bag

The Evergreen State College