KI Membership Signup/Renewal Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Questions? Contact Nachshon Fertel (410-908-0226) or Adam Galili (952-210-9224)

Full Name *

Address *

Email *

Cell Phone *

Are you an existing member? *

Existing Member

New Member Signup

Choose your Membership Level *

KI Member - $72/month

KI Member PLUS - $180/month

KI Legacy Member - Starting at $800/month

Other:

Monthly or Annual Payments? *

Monthly ($72, $180, $800+)

Annual ($864, $2160, $9600+)

Would you like a Reserved Seats with Name Plaque? *

Yes, 1 seat ($50/month | Free for PLUS members)

Yes, 2 seats ($100/month | $36/month for PLUS members)

No thanks

Would you like a reserved Cubby? *

Yes ($50/month | FREE for PLUS members)

No thanks

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report