Ken Office

Please complete the following information. ONLY THE FIRST 3 QUESTIONS AND THE PRINCIPAL NAME ARE REQUIRED. For all other information, just fill in that which you want changed or added and click the submit button at the end of the form:

In what language do you preffer to receive information from the Ken? Spanish English

How do you prefer to receive information on events? By Mail By e-mail

Do you allow the Ken to share your address and phone number with other members to use in personal mailings? (for example: birthday and Bar Mitzvah invitations) YES NO

PRINCIPAL MEMBER	Current Information
Name (REQUIERED)
Birth Date
Anniversary
Home Address
City, State Zip
Home Phone
Work Phone
Cell Phone
Fax
e-mail

Spouse	Current Information
Name
Birth Date
Home Phone
Work Phone
Cell Phone
e-mail

Child 1	Current Information
Name
Birth Date
School
Cell Phone
e-mail

Child 2	Current Information
Name
Birth Date
School
Cell Phone
e-mail

Child 3	Current Information
Name
Birth Date
School
Cell Phone
e-mail

Child 4	Current Information
Name
Birth Date
School
Cell Phone
e-mail

Child 5	Current Information
Name
Birth Date
School
Cell Phone
e-mail