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PERSONNEL FILE (CONFIDENTIAL)
Date of Resignation: .
Earther Name: .
Address: .
City: State: Zip/Postal code
Date of Birth: Phone:( )- -
EX-KLINGON NAME:
Just What Kind of Klingon Were You?
(check one)
[ ]
Classic Klingon
I'm a Klingon as seen on the
Original STAR TREK series.
[ ]
Contemporary Klingon
I'm a Klingon as seen in the
feature STAR TREK films
and STAR TREK: THE
NEXT GENERATION
Other Clubs and Organizations which you will be joining in lieu of KAG:. . .
What was your complaint with the Klingon Assault Group?
Check One:
[ ]
Too Much Politics
[ ]
I have more fun at the Dentists
[ ]
Oh, Just because
Mail Completed form and don't bother with a KAG SELF ADDRESSED STAMPED ENVELOPE
John Halvorson
to: The Beach CA
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