ROMANS
Rochester Male Naturists
P.O. Box 92293
Rochester, NY 14962
APPLICATION FOR MEMBERSHIP
Print and mail to address above
Please read by-
Please print the following.
1. Name(s)__________________________________________________________________
2. Address _________________________________________________________________
3. City _____________________________ State ________________ Zip _____________
4. Telephone with area code _________________________ Cell phone________________
5. Email address _____________________________________________________________
6. Web page _________________________________________________________________
The above information is confidential and is provided only to ROMANS members and used for club mailings and to contact members. If these change please contact an officer with changes. Do you wish any items above not published to members but for use only by officers? If so please list item numbers ___________________________________
Do you wish to receive most club by information by _____ email or by _____ snail mail? (Check one)
Club prefers email due to postage costs.
Why do you want to be a member of Rochester Male Naturists?
Where did you first hear about the club?
By my signature below I certify that I am at least 21 years of age and that I wish to join ROMANS. I agree to abide by the rules established by the ROMANS membership.
Signature____________________________________________ Date___________________________
When filing this application please include $15 for a single membership or $25 for a couple. Make check payable to ROMANS and send to the P.O. Box address at the top of the form.
To download an PDF Application click here
