BA-MEN Membership Form

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Join or renew your BA-MEN membership - All information submitted is available only to BA-MEN officers, and is not posted anywhere online.

Primary Member Name: *

Enter your first & last name of the only or primary member

Primary member email address: *

Do you have a partner or a roommate to include on your membership?

Enter their full name(s) if any - Leave BLANK if none - PLEASE DO NOT TYPE "NO". If so, please incl. their birth month & day, and any differences on photos - otherwise their photo options will be the same as your own.

Membership Period: *

1 Year Electronic Membership (all membership types)

2 Years Electronic Membership (all membership types)

Lifetime Electronic Membership (Single or Couple only)

1 Year Student (college/univ.) or limited/fixed income only (singles only)

List my/our name(s) in members only directory? *

Yes

List email address in members only directory? *

Yes (last question must be yes, too)

List my phone number in the members only directory? *

Yes (list NAME must be yes, too)

Street address:

Address only... City is the next field.

City:

Enter city only.

State:

Enter 2-letter, all capitalized state abbreviation. May leave blank for CA.

ZIP code:

Enter as 5 or 9 digits, eg: 92683 or 92832-3524

Phone number

Enter area code plus number with dashes, eg: 714-987-1234

Birth Date:

Please enter MONTH & DAY only, no year.

I wish to get or give a ride: *

I offer rides

I need a ride

If ride-sharing, enter ride-share intersection & city:

Leave BLANK if last question was no. Enter NEAREST MAJOR INTERSECTION, City, & ZIPCODE in which you typically need or offer rides.

Paying for membership via: *

Cash (in person only)

Check or MO via US Mail

Square Cash (Cash.Me)

Chime

Google Wallet

Circle Pay

PayPal

Venmo

PopMoney

PHONE: VISA, MC, Discover, or AmEx Credit or Debit (signature) card via Square

IN PERSON: VISA, MC, Discover, or AmEx Credit or Debit (signature) card via Square

I have paid already for membership

I was granted a free membership

OK to print your photo in our newsletter? *

Yes

OK to publish your photo on the web? *

Yes

OK for other nudist magazines to publish your photo? *

Yes

Please e-sign this form by re-entering your name, stating that all information given is true and that you are a male 18 or older: *

Enter your first & last name to electronically sign your membership form.

Any optional comments?

Submit

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