Crew Registration

Use this form to join the Crew of QAR, Adopt an Artifact or make an online donation. For Family Crew memberships, please enter names in the box below under Additional Information. For multiple transactions (e.g. joining AND adopting), you'll have to submit multiple forms. We apologize for this inconvenience (we're just pleased to be able to accept online payments; oddly, Paypal was not able to offer "pieces of eight" as a payment option. Now, THAT is inconvenient.)

( * = required field )

First Name: *

Last Name: *

Organization:

Address: *

City: *

State: *

Zip Code: *

Country:

Phone:

Email: *

Confirm Email: *

ADDITIONAL INFORMATION

Family Crewmembers:

Messages:

Amount ($): *

$25.00	Deckhand- Individual
$50.00	Deckhand- Family
$100.00	Swashbuckler- Individual
$175.00	Swashbuckler- Family
$250.00	Buccaneer
$500.00	Pirate
$50.00	Adopt an Artifact
		[To make a donation, please enter the amount here in decimal form, without the dollar sign.]