ATHEIST CLUB COMPLAINT SHEET
Fill out the entire form, then mail to 630 Mansfield Way, Oswego IL 60543.
Please include $10 as shipping and handling surcharge.

Info: This film is to be filled out by any offended religious person. Please note that for the sake of time, your message may or not be read. Failure to fill out the form correctly with surcharge fee may result in voiding of sheet/complete ignorance.

What is your complaint?
Please fill out all of the following that apply.

__ You're all going to burn for eternity
__ You need to repent for your sins
__ Our religion is better than your lack thereof
__ God still loves you
__ God hates you
__ You're all <insert derogatory comment of choice here>
__ Three words: Evolution is a lie.
__ If god doesn't exist then ____________?
__ You're all falling for a conspiracy theory.
__ You're all low-life cretins.
__ You're unevolved.
__ Evolution is just a theory
__ Other
__ All of the above

Please fill out all of the following forms in order for us to validate and remove potential junk-mail.

What is your name? (first/inital/last)		__________ ____ ___________

Where do you live? (address/ city/area code)	__________ __________ _______

What is your birth date? (mm/dd/yy)		___/____/___

What is the 16 digit PIN on your credit card? 	_______________

What is the expiration date of your card? 	___/______

What current card carrier do you hold? 		________

What is your daytime cell phone #?		(___)____-_____

What is your social security #? 			_______________

What is your current announced faith?		________________

Additional comments to be filled out in the following underlined space.


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