JOINKTF

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Complete the following information.</FONT></FONT></FONT></I></b> <BR>
 
Complete the following information.</FONT></FONT></FONT></I></b> <BR>
  
<TABLE height=486 cellSpacing=2 cellPadding=2 width="704" border=1>
+
<TABLE height=486 cellSpacing=2 cellPadding=2 width="670" border=1>
 
   <TR>
 
   <TR>
 
     <TD width="181" height="65"><FONT  
 
     <TD width="181" height="65"><FONT  
       face=Arial,Helvetica>Mr.</FONT> <BR><FONT face=Arial,Helvetica>Mrs.</FONT>  
+
       face=Arial,Helvetica>__________ Mr.</FONT> <BR><FONT face=Arial,Helvetica>__________ Mrs.</FONT>  
 
       <BR><FONT  
 
       <BR><FONT  
       face=Arial,Helvetica>Ms.</FONT></TD>
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       face=Arial,Helvetica>__________ Ms.</FONT></TD>
     <TD colSpan=2 width="455" height="65"><B><FONT face=Arial,Helvetica>Terragnan Name:</FONT></b> <BR><BR><FONT  
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     <TD colSpan=2 width="447" height="65"><B><FONT face=Arial,Helvetica>Terragnan Name:</FONT></b> <BR><BR><FONT  
 
       face=Arial,Helvetica>First _________________________________</FONT><BR><BR><FONT  
 
       face=Arial,Helvetica>First _________________________________</FONT><BR><BR><FONT  
 
       face=Arial,Helvetica>Last  _________________________________</FONT></TD></TR>
 
       face=Arial,Helvetica>Last  _________________________________</FONT></TD></TR>
 
   <TR>
 
   <TR>
     <TD colSpan=2 width="398" height="42"><BR><BR><B><FONT face=Arial,Helvetica>Mailing Address: ___________________________________________________________</FONT></b> <BR></TD>
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     <TD colSpan=2 width="360" height="42"><B><FONT face=Arial,Helvetica>Mailing Address: <BR><BR> ___________________________________________________</FONT></b> <BR></TD>
 
     <TD width="286" height="42"><FONT face=Arial,Helvetica><BR><BR><B>Apartment or Suite #</b>:</FONT>__________________________</TD></TR>
 
     <TD width="286" height="42"><FONT face=Arial,Helvetica><BR><BR><B>Apartment or Suite #</b>:</FONT>__________________________</TD></TR>
 
   <TR>
 
   <TR>
 
     <TD width="181" height="61"><B><FONT face=Arial,Helvetica>City, Town, or Township:<BR><BR></FONT></b>  
 
     <TD width="181" height="61"><B><FONT face=Arial,Helvetica>City, Town, or Township:<BR><BR></FONT></b>  
       <BR>_____________________________</TD>
+
       <BR>________________________</TD>
 
     <TD width="209" height="61"><B><FONT face=Arial,Helvetica>State or  
 
     <TD width="209" height="61"><B><FONT face=Arial,Helvetica>State or  
 
       Province:</FONT></b> <BR><BR>_______________________</TD>
 
       Province:</FONT></b> <BR><BR>_______________________</TD>
     <TD width="286" height="61"><B><FONT face=Arial,Helvetica>Postal Code:</FONT></b> <BR><BR>____________________</TD></TR>
+
     <TD width="282" height="61"><B><FONT face=Arial,Helvetica>Postal Code:</FONT></b> <BR><BR>____________________</TD></TR>
 
   <TR>
 
   <TR>
     <TD width="181" height="80"><B><FONT face=Arial,Helvetica>&nbsp;Country:</FONT></b> <BR><BR>_________________________________</TD>
+
     <TD width="181" height="80"><B><FONT face=Arial,Helvetica>&nbsp;Country:</FONT></b> <BR><BR>________________________</TD>
     <TD width="209" height="80"><b><font face="Arial,Helvetica">Klingon Name: </font></b><BR><BR>__________________________________
+
     <TD width="209" height="76"><b><font face="Arial,Helvetica">Klingon Name: </font></b><BR><BR>_________________________
 
        
 
        
 
     </TD>
 
     </TD>
     <TD width="286" height="80"><FONT face=Arial,Helvetica></FONT><b><font face="Arial,Helvetica">MFI Member Number:</font></b>  
+
     <TD width="282" height="80"><FONT face=Arial,Helvetica></FONT><b><font face="Arial,Helvetica">MFI Member Number:</font></b>  
 
       <BR><BR>______________________</TD></TR>
 
       <BR><BR>______________________</TD></TR>
 
   <TR>
 
   <TR>
 
     <TD width="181" height="42"><B><FONT face=Arial,Helvetica>Home Phone:</FONT></b> <BR><BR>_______________________</TD>
 
     <TD width="181" height="42"><B><FONT face=Arial,Helvetica>Home Phone:</FONT></b> <BR><BR>_______________________</TD>
     <TD width="209" height="42"><B><FONT face=Arial,Helvetica>Email:</FONT></b> <BR><BR>___________________________________________</TD>
+
     <TD width="209" height="42"><B><FONT face=Arial,Helvetica>Email:</FONT></b> <BR><BR>_________________________</TD>
     <TD width="286" height="42"><B><FONT face=Arial,Helvetica>Alternate Email:</FONT></b>  
+
     <TD width="282" height="42"><B><FONT face=Arial,Helvetica>Alternate Email:</FONT></b>  
       <BR><BR>_______________________________________</TD></TR>
+
       <BR><BR>________________________</TD></TR>
 
   <TR>
 
   <TR>
 
     <TD colSpan=3 width="644" height="59"><BR><BR><font face="Arial,Helvetica"><b>Current Age:</b>_________ <b>                Birthdate:</b></font>________________________
 
     <TD colSpan=3 width="644" height="59"><BR><BR><font face="Arial,Helvetica"><b>Current Age:</b>_________ <b>                Birthdate:</b></font>________________________
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   <TR>
 
   <TR>
     <TD colSpan=3 width="644" height="81" align="center">
+
     <TD colSpan=3 width="640" height="81" align="center">
 
<b><font face="Arial">What type of Klingon are you?</font></b>  
 
<b><font face="Arial">What type of Klingon are you?</font></b>  
<BR><BR>________________________________________________________________________________________<BR><BR>OPTIONS INCLUDE:<BR> Imperial Klingon (TNG / DS9 / Voyager)<BR>Half Klingon (TNG / Voyager)[Note other Race in Comments]<BR>Klingon (TOS)<BR>Klingon - Human Fusion (TOS / FASA)<BR>Klingon - Romulan Fusion (TOS / FASA)<BR>Other Blending [Note other Race in Comments]<BR><BR><BR>  
+
<BR><BR>____________________________________________________________________________________<BR><BR>OPTIONS INCLUDE:<BR> Imperial Klingon (TNG / DS9 / Voyager)<BR>Half Klingon (TNG / Voyager)[Note other Race in Comments]<BR>Klingon (TOS)<BR>Klingon - Human Fusion (TOS / FASA)<BR>Klingon - Romulan Fusion (TOS / FASA)<BR>Other Blending [Note other Race in Comments]<BR><BR><BR>  
<b><font face="Arial">Comments: </font></b>____________________________________________________________________________________________
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<b><font face="Arial">Comments: </font></b>______________________________________________________________________________
 
</TD></TR>
 
</TD></TR>
 
</TABLE>
 
</TABLE>
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<I><FONT size=-1 color="#FFFF00" face="Arial"><b>Step 3: Membership - Individual and Group Information</b></FONT></I><BR><BR>
 
<I><FONT size=-1 color="#FFFF00" face="Arial"><b>Step 3: Membership - Individual and Group Information</b></FONT></I><BR><BR>
  
<TABLE height=458 cellSpacing=2 cellPadding=2 width="704" border=1>
+
<TABLE height=458 cellSpacing=2 cellPadding=2 width="670" border=1>
 
   <TR>
 
   <TR>
 
   <TD width="181"> CHOOSE ONE: <BR><BR>
 
   <TD width="181"> CHOOSE ONE: <BR><BR>
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mIch or Zone Number: _____________________________</font></TD></TR>
 
mIch or Zone Number: _____________________________</font></TD></TR>
 
   <TR>
 
   <TR>
     <TD colSpan=2 width="392"><B><FONT face=Arial,Helvetica>Group Address:</FONT></b> <BR><BR>____________________________________________________________</TD>
+
     <TD colSpan=2 width="362"><B><FONT face=Arial,Helvetica>Group Address:</FONT></b> <BR><BR>__________________________________________________</TD>
 
     <TD width="292"><FONT face=Arial,Helvetica><B># of Members in Group</b>:</FONT>_________</TD></TR>
 
     <TD width="292"><FONT face=Arial,Helvetica><B># of Members in Group</b>:</FONT>_________</TD></TR>
 
   <TR>
 
   <TR>
 
     <TD width="181"><B><FONT face=Arial,Helvetica>City, Town, or Township:</FONT></b>  
 
     <TD width="181"><B><FONT face=Arial,Helvetica>City, Town, or Township:</FONT></b>  
       <BR><BR>_____________________________</TD>
+
       <BR><BR>________________________</TD>
 
     <TD width="203"><B><FONT face=Arial,Helvetica>State or  
 
     <TD width="203"><B><FONT face=Arial,Helvetica>State or  
 
       Province:</FONT></b> <BR><BR>_______________________</TD>
 
       Province:</FONT></b> <BR><BR>_______________________</TD>
     <TD width="292"><B><FONT face=Arial,Helvetica>Country:</FONT></b> <BR><BR>_________________________________</TD></TR>
+
     <TD width="292"><B><FONT face=Arial,Helvetica>Country:</FONT></b> <BR><BR>______________________</TD></TR>
 
   <TR>
 
   <TR>
     <TD width="181"><FONT face=Arial,Helvetica><b>Group MFI Member Numbers:      <BR><BR>________________________</b>
+
     <TD width="181"><FONT face=Arial,Helvetica><b>Group MFI Member Numbers:      <BR><BR>______________</b>
     <TD width="203"><B><FONT face=Arial,Helvetica>Group CO Email:</FONT></b> <BR><BR>___________________________________________</TD>
+
     <TD width="203"><B><FONT face=Arial,Helvetica>Group CO Email:</FONT></b> <BR><BR>___________________________</TD>
 
     <TD width="292"><B><FONT face=Arial,Helvetica>Group XO Email:</FONT></b>  
 
     <TD width="292"><B><FONT face=Arial,Helvetica>Group XO Email:</FONT></b>  
       <BR><BR>___________________________________________</TD>
+
       <BR><BR>____________________________</TD>

Latest revision as of 06:34, 5 December 2010

Ktf logo sm.jpg

KTF Directory

Membership Application 

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Membership in the Klingon Task Force is open to all persons without regard to race, religion, sex, economic status, sexual orientation, gender, disability, national origin, or age. MFI membership is the only requirement to be affiliated with KTF.


Copy and paste the application below and either email your completed application to kmoghjih@gmail.com or send via snail mail to:

MFI Klingon Task Force
% Larry D. French Sr.
1742 Broadway Avenue
Pittsburgh PA 15216

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Step 1: Complete the following information.

__________ Mr.
__________ Mrs.
__________ Ms.
Terragnan Name:

First _________________________________

Last _________________________________
Mailing Address:

___________________________________________________



Apartment or Suite #:
__________________________
City, Town, or Township:


________________________
State or Province:

_______________________
Postal Code:

____________________
 Country:

________________________
Klingon Name:

_________________________
MFI Member Number:

______________________
Home Phone:

_______________________
Email:

_________________________
Alternate Email:

________________________


Current Age:_________ Birthdate:________________________

What type of Klingon are you?

____________________________________________________________________________________

OPTIONS INCLUDE:
Imperial Klingon (TNG / DS9 / Voyager)
Half Klingon (TNG / Voyager)[Note other Race in Comments]
Klingon (TOS)
Klingon - Human Fusion (TOS / FASA)
Klingon - Romulan Fusion (TOS / FASA)
Other Blending [Note other Race in Comments]


Comments: ______________________________________________________________________________


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Step 2: Choose A Membership Classification

Active Membership: If you would like to be a full time representative of the Klingon Task Force, with the Task Force being your only branch of service.
Reserve Membership: If you wish to serve in other branches beside just the Klingon Task Force, with the Task Force being a secondary branch of service..

CHOOSE ONE:

Active Membership: ___________

Reserve - Fleet: ___________

Reserve - Marine: ___________

Recerve - Special Forces: ___________

Reserve - Diplomatic Corps: ___________

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Step 3: Membership - Individual and Group Information

CHOOSE ONE:

__________Individual Member

__________Group Member

__________Group Leader
Group Info:

Group Name: _____________________________________

mIch or Zone Number: _____________________________
Group Address:

__________________________________________________
# of Members in Group:_________
City, Town, or Township:

________________________
State or Province:

_______________________
Country:

______________________
Group MFI Member Numbers:

______________
Group CO Email:

___________________________</TD>
Group XO Email:
     

____________________________</TD>

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