KUSTOM KOMMUNE MEMBERSHIP FORM

Name *
Name
Date of Birth *
Date of Birth
Address *
Address
EMERGENCY CONTACT
Emergency Contact Name *
Emergency Contact Name
TERMS & CONDITIONS
*
http://kustomkommune.com.au/workshop-terms-conditions/
(only for in-store sign ups. Leave blank if signing up online)
Did one of the crew tell you about Kustom Kommune?