AnimeAddict

Thank you for expressing interest in joining the Anime Addict Club.
Please fill out this form, and we will get back to you shortly.
Required fields are marked with a red asterisk.*

*Please be advised that you must be at least 13 years old to submit an application.

Click here to download a (doc)

Organization Name *
Club Representative & Title*
Birth Date*	: :
Club Mailing Address*
City*
State*
Zip Code *
Email Address*
Club Website Address*
Sponsoring organization & contact person for (High School, University, or Library)*
Location (Where the screening/event is to be held)*
When (The Date When the screening/event is to be held)*
Number of Club Members*