Fan Profile Creation Form

Use this form ONLY to CREATE a NEW Profile.
Newcomers should read the information on the NKFD Main Page.

Real Name (Nickname) - Example: Greg Gaub (Flux)

Password - CaSe SeNsItIvE!

Pageame - Example: flux

E-mail address - ONE address

ICQ Number - Learn About ICQ

ICQ Nickname

Gender

Occupation

Location

Birth date
- Example: October 4, 1971
Web Page Title - your own web page, a favorite web page, or leave it blank

Web Page URL

Instrument(s) Played

When/Where did you hear NK for the first time?

Favorite Nik Song(s)

Favorite Nik Album(s)

What Nik concerts have you attended?

When have you met Nik?

Other Favorite Artists

Please tell us a little bit about yourself.

Would you like to subscribe to the Nik Kershaw Mailing List?
YES! sign me up!
No, I'm already a subscriber.
If you have a picture of yourself on-line somewhere, please enter the complete URL here, otherwise leave this blank (please link directly to the picture, not a web page with the picture) :

I confirm I am a robot...

If you have any problems or questions, e-mail me at flux@kershaw.net.