2002 Membership Dues: $25.00 ($30.00 Family) 

Name:_________________________________________________
Mailing Address:______________________________________
City & Province:______________________________________
Postal Code:___ ___
Day Time Phone# ___ ___ ____ 
Evening Phone# ___ ___ ____
   *at least one phone # required in order to inform members of monthly prizes 
e-mail________________________________________________
         _ e-mail News Letters
         _ snail-mail News Letters

Payment Type:
 Check or Money Order_______
   
   *Checks made payable to "DJ Kennington Fan CLub"

D.J. Kennington Fan Club
99 Weymouth 
London, ON., Canada
N5V 4E3
[email protected]
www.geocities.com/djkennington