Membership Application

All information contained on this form is confidential. Your name and address will not be released for any use outside this organization.

We hope you will find that our organization is for you and that you will join us. Any additional questions about the group and its activities should be directed to the mailing address below or to our help-line or e-mail address.

Our rules are simple. Dress and act appropriately, protect the security of other members, and enjoy yourself. If you agree to this and would like to join, just contact the Buffalo Belles and let us know you are interested. An interview with a club officer is usually required of all prospective members before their first meeting. You will need to fill out the information below and then it will be used at the time of your interview.

Your submission of this application and dues is a commitment to the basic rules of our organization.

I have read the above rules and agree to abide by them.

Signature (male or femme): ________________________________ Date:__________

A fee of $5.00 is charged to each member or guest at each meeting to cover expenses. This may be paid to the treasurer upon arrival. Wives and significant others are not charged meeting fees.

Some additional information about yourself would be helpful. This helps us to understand your needs and to contact you without compromising your privacy. This information is seen only by organization officers.

Your male name: ________________________________________

Your femme name: _______________________________________

Your mailing name and address: (please print)______________________________

______________________________________________________

______________________________________________________

Your e-mail address (optional): __________________________

Marital Status: __________________________________

Age: __________________________________

How may we best contact you? __________________________________

Are you a member of any other crossdressing / transgender organizations?

_____ No

_____ Yes - Names of organizations: _______________________________

How did you learn about us? ______________________________________________

What might you like to contribute to the group?

___________________________________________________________________

What information would you like to get from the group?

___________________________________________________________________

What activities would you like to see at meetings?

___________________________________________________________________

_____________________________________________________________________

The following information is optional.

Home phone: _____________________ Ask for: ______________________________

Any special instructions / telephone protocol you would like observed?

_____________________________________________________________________

_____________________________________________________________________

Emergency contact person:_________________________________________

Relationship: _____________________________ Phone:_______________________

Instructions: ___________________________________________________________

__________________________________________________________