The following info was received:

You are located in the Territory of the IKV SEEKER in the Klin-Fire Fleet in KAG's Navy, under the command of None.

Enter your individual data here. Once it's prepared, click on 'ACCEPT MY APPLICATION' to send it to KAG Command.

Personal Information
*Earth Name:	Enter your full human name.
*KAG Username:	This will be used to login to this KAG site.
*Password:
*Repeat Password:
*Mailing Address:	Enter your Mailing address.
*Town/City
*State/Province	AlabamaAlaskaAlbertaAmerican SamoaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated states of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundland and LabradorNoneNorth CarolinaNorth DakotaNorthern Mariana IslandsNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPalauPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingYukonNoneSelect one...
Zip/Postcode
*Country:	AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo\, Democratic Republic ofCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIreland, The Republic ofIsraelItalyJamaicaJapanJordanKazakstanKenyaKiribatiKorea, Democratic People's RepublicKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav RepublicMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMexicoMicronesia, Federated States ofMoldova, Republic ofMongoliaMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia-South Sandwich IslandsSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, U.S.Wallis and FutunaYemenZambiaZimbabweNone
*Email Address:	Enter a valid email address.
Phone Number:	Enter numbers only.
Date of Birth:	Day (1-31) Month (1-12) *Year (XXXX)
Klingon Information
*Klingon First Name:	If you do not have one, enter your human, or other alien, first name.
Klingon House:	This can also be your Klingon, or alien, last name.
Additional Information:	Add any additional information you'd like us to know.
Combat Divisions The branch(es) of KAG's military under which you would like to serve (check at least one)
Navy:	✓ The Ships of the Empire.
Marines:	Military minded ground combat specialists.
Imperial Xeno Legion:	Non-Klingon Alien Mercenaries in service to the Empire.
Support Divisions These offer resources to aid in various aspects of Klingon life (check any that interest you)
QuarterMasters:	Creating uniforms, costumes, props and more.
Logistics:	Developing digital tools and resources for promoting KAG and recruitment, publishing MindScanner and more.
Culture:	Klingon customs, language, rituals and more.
*How did you hear about KAG?	Let us know how you heard about KAG.
*Do you agree to honor the rules of KAG?

*Required Fields

Privacy Notice: The information collected in this form will only ever be used by the Klingon Assault Group to support your membership in the club, it will never be traded, sold or given to any entity outside of the club. If you object to having any personal information stored by the Klingon Assault Group after your membership has been approved, either contact your ship CO or contact the Logistics CO.