Street Team Sign-Up

(This information is strictly for the use of Skitzofreniks to contact
 potential Street Team members, and will NOT be shared whatsoever!)
 
 Your Name:*          

 Address:*            
 City:*               
 State:*              
 Zipcode:*            

 E-Mail Address:*     
 Phone Number:*       


 Add to Mailing List: Yes
                      No

What would you like to do if chosen as a member of Skitzofreniks' Street Team?
(Flyering, Stickers, Internet Promo, etc..)

Where exactly would you do your promoting? 

 When done, please  or