Charldine Club [International] Membership:

Membership with PreParty forum to attend on-premises parties. Answer all of the questions that apply.
STATUS= We are making this request as a:
Couple (Female/Male.)
His First name (the name your intimate friends use.)
His date of birth: Mo/Da/Yr
Her First name (the name your intimate friends use.)
Her date of birth: Mo/Da/Yr
Mailing ADDRESS
City
State Zip
Area Code & Phone #
E-Mail:   Primary  Alternate
E-mail Format:    yourhandle@yourserver.com

Attendance is to certify that you are over 18 years of age, and hold the same philosophy as stated in our open-letter "Governing Views and Philosophy", and you will observe all government rules and regulations.
You also declare that you are seeking this meeting of your own free will as a private-person.
1]. Are you employed or associated professionally with anyone, where-by you are seeking to obtain material and/or information to be used in a profession? (Example; TV, Radio, Newspapers, Magazines, College-studies).
answer_ Yes No
2]. Are you a member of or associated with any government or law enforcement agency, here to entrap or obtain information to be used as part of any investigation?
answer_ Yes No

Enter HIS full legal name here:
Enter HER full legal name here:

Your legal Signature(s)___________________________________________Date___________
You'll be asked to present ID and sign your legal name on this form at the onset of the Adult Forum.
Your last name will not be given to other members.
Optional: Enter the name & club# of the member(s) who recommended you, if any.

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