NEW MEMBER SIGN UP FORM

We ask that you do not leave the  RED labeled fields blank.  Thanks.

We cannot contact you without a valid email address.   

When you complete this form, you will receive a confirmation email.   We must now send these confirmation emails manually, so it could take from five minutes to several hours.    If you don't get a response within twelve hours, contact us at .

First Name
Last Name
Street Address
Address (cont.)
City  
State/Province
Zip/Postal Code
Country
E-mail
E-mail again
URL

Tell us about yourself:

Age
Sex Male Female

Optional member profile (check all that apply)

I own most or all of Daniel's cassette tapes
I own at least one of Daniel's CDs
I own at least three of Daniel's CDs
I own all or almost all of Daniel's CDs
I own one piece of Daniel's art
I own more than one piece of Daniel's art
I have seen Daniel perform live
I haven't seen Daniel yet, but I'd like to
I am a musician myself
I am an artist myself
I relate to his art
I relate to his music
I relate to his life traumas seen in his art/music
I am a collector
I have been familiar with Daniel for a long time

What you want to receive or not:

I want to receive your NEWSLETTERS
Tell me when new MUSIC is available
Tell me when new ART is available
Tell me when ARCHIVE material is available