Copy and Print this form ATTACK PACK Electronic Membership Application
Be a part of the excitement that is professional soccer!
Join the ATTACK PACK Today!!! Members receive ID Badge Attack Talk Newsletter Annual Membership Pin Membership period runs from Oct.1 - Sept. 30. Name:____________________________Home Phone:______________ Address:__________________________Work Phone:_______________ City___________________________State ____Zip________________ Spouse:__________________________Work Phone:_______________ Family Birthdays:____________________ This application is for: __New Member __Renewal Season Ticker Location (if applicable) Sec___ Row___ Seats(s)______ Categories __Single - includes minor children $20.00 __Family - two members, same household. Includes minor children $25.00 __Business - or Corporate $25.00 __Inter-Club - 50+ miles from KC no votes $10.00 Do you want the text version of the Newsletter sent to your email address instead of regular snail mail? ___yes __no
Your email address please ___________________ --------------------------------------------------------------------------------------------- Make Checks/Money orders payable to: KC Soccer Connection Mail Application and Payment to: KC Soccer Connection %Patty Roach 19000 E. 6th Street North Independence, Missouri 64056
