The Form


Please fill out this form to the best of your ability. Although not all fields are required for submission, we would appreciate it if you could fill all of them out. Thanks! 
  

  

  Name:
  
  Mailing Address:
  
  Email address:
  
  Phone number:


Are you currently a student at UNH?
Yes, undergraduate Yes, graduate student No
If yes, social security number:


Are you interested in any of the following? (check all that apply)
Anime
Manga
Translated Manga
Models
Anime Music/Soundtracks		 J-pop
Fansubs
Fan-made manga (dojinshi)
Japanese Culture
Other:


Where did you find out about the UNH Anime Club?


In case we forgot anything, use this space to write any comments you might have about the club, the web site, what you'd like to see us do/not do, etc.