ATTENTION CHAOS MEMBERS!!!
- This information MUST be completed in order to be on the members
list. If you have sent it in once before, you MUST send it again to
the email address below so we can get an accurate count and set a
date for your re-induction. We are starting the re-inductions very
soon. We need this information for the main database. WARNING: If
you DO NOT fill out this form and send it to the email address below,
you will NOT paticipate in the re-inductions and will no longer be a
member of Chaos because of not being listed as instructed. All parts
of the form are REQUIRED to be completed in all Honesty.
Gatekeeper of Chaos
Please copy and fill below.
send info to: chaos_members_info@...
Real First Name:
Real Last Name:
Main Phone to get ahold of you:
When were you inducted into Chaos?:
Where were you inducted into Chaos?:
By whom were you inducted into Chaos?: