Pilgrim Naturists of New England - Membership Form
Please Print all information, Sign below, and return with your check.
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1st NAME: __________________________________ DATE: __________________

2nd NAME: __________________________________ Spouse | Relative | Other
      (Two persons at the same address may use one form to apply)

STREET/POSTAL: ______________________________________________________
                      (Required for proper ID.)

CITY: _________________________________ STATE: ___ ZIP: _____________

HOME PHONE: _____________________ BUS/ALT PHONE: ____________________

E-MAIL (PRINT):______________________________________________________

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*(All memberships limited to adults over the age of 18.  Children to
be listed in a family membership may be indicated on an attachment.)

PLEASE CHECK OR "X" ALL APPLICABLE BELOW:

[  ]  New Member(s)    [  ]  Renewal(s)

REGULAR ANNUAL MEMBERSHIPS:
[  ]  $30.00 per single per year.    [  ]  $40.00 per (Family/Couple)

SENIORS - STUDENTS ANNUAL MEMBERSHIPS:
[  ]  $25.00 per single per year.    [  ]  $35.00 per (Family/Couple)

STUDENT 6 MONTH/SEMESTER MEMBERSHIPS:
[  ]  $15.00 per single per year.    [  ]  $20.00 per (Family/Couple)

NOTE:- Newsletter is distributed as an E-mail PDF attachment)

[  ]  *** SEND PRINTED NEWSLETTER VIA US POSTAL MAIL
      (About 3X annually or as deemed necessary):
      *** Add $5.00 per household address per year.

[  ]  I DO NOT HAVE E-MAIL AND I DO NOT WANT A PRINTED NEWSLETTER
      BY POSTAL MAIL. I WILL USE/CHECK THE GROUPšS TOLL FREE
      NUMBER, OR VISIT THE WEB SITE WHEN I WANT INFORMATION. 

[  ]  Please share our listing with other members so we can get to 
      know them. Open List participants may obtain a shared member
      list of other participants on request.	

[  ]  Please keep our listing confidential. We prefer our privacy.

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Pilgrim Naturists grants membership to all persons who have reached 
at least 18 years of age without regard to race, color, creed, gender,
national origin, marital status, or sexual orientation. 
Our household membership is designed to allow two people (spouses,
family members, room mates, etc.) who share the same address to 
receive a household discount. Pilgrim Naturist promotes family 
oriented naturism and does not promote any particulae lifestyle 
choice. Our events, when held are family safe and children are 
welcome and admitted with parents/guardian present.  Seniors 
taking discount please provide proof of age 65 or older. 
Students please provide proof of enrollment in recognized school. 
Student memberships limited to age 18 or over.
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I/We hereby agree to conduct ourselves in a responsible manner at all
times and to follow the rules of the Pilgrim Naturists of New England
as may be promulgated from time to time. I/We agree that Pilgrim
Naturists may terminate my/our membership at any time, especially
for, but not limited to, infractions of the rules of the Pilgrim 
Naturists, rented facilities, or others who may host the Pilgrim 
Naturists from time to time, or breeches of acceptable norms of
social behavior.  The decision of the ownership of Pilgrim Naturists 
will be final.  Pilgrim Naturists further reserves the right to 
require positive identification of members, guests, or other 
participants at it's events at all times.

Signature(s):  

1st Name: ___________________________________________ 

2nd Name: ___________________________________________ 

Check/MO  for $ __________ total is enclosed and made out to:
PILGRIM NATURISTS, PO BOX 320273, BOSTON, MA. 02132