boosterapplication.html 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



Return to KC INDOOR Soccer Homepage