MEMBERSHIP APPLICATION

to JOIN THE SLUGFEST

A membership is good for 366 days ( including the day you apply.) The base price is $100.00 (which includes shipping, handling, and PA sales tax if shipped within PA)

Please enter the following information:

your first .............................. an last names

e-mail address

street ( or shipping ) address

city, ......................................state, ................................... and zip code

Please indicated one or more of the following albums (the membership price includes three choices, but you may want to save one or two credits for special surprises.) Should you choose any music rated over 6 on the Mohs' Scale of Hardness, or if you are under eighteen years of age, please read THE WARNING (then use page back to avoid loosing the information you have already supplied.)

The Cave Dwellers' "After all these years, we're still livin' in caves?"
Mother Nature's Suns' "You Are Here ...."
A Bizarre Bazaar's "Join the Free Association."
Falling Angels' "Watch For Falling Angels!"
R.S.D.'s "The Rough & Sinewy Dabblers"
Yzark's "Orwellian Tendencies"
The Electric Slugs' "Join The Slugfest."
cd d:\industrial\noize\pollution
Please choose your listening format:
Cassette Tape
Mini-Disc ( Sony compatible. Adds $20.00 to your membership price. )

Your Internet Gazette password and library card will be issued upon completion of this order.
An activity questionnaire for the THINK-TANK and THE PHILADELPHIA SPIRIT EXPERIMENT will follow.

Please choose your payment method:
Expiration Month: Expiration Year:
Credit Card Number:

Snailmail. Payment instructions will follow.

Thank you.
Please press this button
to join the slugest :

This website has been archived for historical purposes. The Membrane Domain

MEMBERSHIP APPLICATION

to JOIN THE SLUGFEST

An activity questionnaire for the THINK-TANK and THE PHILADELPHIA SPIRIT EXPERIMENT will follow.

Thank you. Please press this button to join the slugest :

This website has been archived for historical purposes.
The Membrane Domain

Thank you.
Please press this button
to join the slugest :