Please print this page, answer the questions below, and mail this form to:

Kamikaze Records
Attn:  Street Team Promotions
P.O. Box 4155
Foster City, CA 94404

You may also copy the text below and email your answers to streetteam@kamikazerecords.com

Name:

Age:

Birthdate:

Home Address:


Contact Numbers (Home, cell, or pager):

Name of School You Are Attending (if applicable):

Email Address:

AOL/AIM Screen Name(s):


How did you find out about the Kamikaze Records Street Team?



What do you hope to get out of being a street team member?



What do you like to do in your spare time? Any hobbies?



What kind of music do you like to listen to?