JOINKTF

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<TABLE height=458 cellSpacing=2 cellPadding=2 width="704" border=1>
 
<TABLE height=458 cellSpacing=2 cellPadding=2 width="704" border=1>
  <TBODY>
 
 
   <TR>
 
   <TR>
    <TD width="181"><INPUT type=radio value=Mr.1 name=title_before_name><font face="Arial,Helvetica">Individual
+
  <TD width="181"> CHOOSE ONE: <BR><BR>
      Member</font> <BR><INPUT type=radio value=Mrs.1
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__________<font face="Arial,Helvetica">Individual Member</font> <BR><BR>
      name=title_before_name><font face="Arial,Helvetica">Group Member</font>  
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__________<font face="Arial,Helvetica">Group Member</font> <BR><BR>
      <BR><INPUT type=radio value=Ms.1 name=title_before_name><font face="Arial,Helvetica">Group
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__________<font face="Arial,Helvetica">Group Leader</font></TD>
      Leader</font></TD>
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     <TD colSpan=2 width="455"><B><FONT face=Arial,Helvetica>Group Info:</FONT></b> <BR><BR><font face="Arial,Helvetica">
     <TD colSpan=2 width="455"><B><FONT face=Arial,Helvetica>Group Info:</FONT></b> <BR><font face="Arial,Helvetica">Group
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Group Name: _____________________________________</font><BR><BR><font face="Arial,Helvetica">
      Name&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
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mIch or Zone Number: _____________________________</font></TD></TR>
      </font><INPUT size=19
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      name=require:FirstName1> <BR><font face="Arial,Helvetica">mIch or
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      Zone&nbsp; Number&nbsp;</font><INPUT size=19
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    name=require:LastName1></TD></TR>
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   <TR>
 
   <TR>
     <TD colSpan=2 width="392"><B><FONT face=Arial,Helvetica>&nbsp;Group Address:</FONT></b> <BR><INPUT size=40
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     <TD colSpan=2 width="392"><B><FONT face=Arial,Helvetica>Group Address:</FONT></b> <BR><BR>____________________________________________________________</TD>
      name=require:StreetAddress1></TD>
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     <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><INPUT
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      name=apt/suite#1 size="20"></TD></TR>
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   <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><INPUT size=22 name=require:City1></TD>
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       <BR><BR>_____________________________</TD>
     <TD width="203"><B><FONT face=Arial,Helvetica>&nbsp;State:</FONT></b> <BR><INPUT size=22 name=require:State_or_Province1></TD>
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     <TD width="203"><B><FONT face=Arial,Helvetica>State or
     <TD width="292"><B><FONT face=Arial,Helvetica>&nbsp;&nbsp;Country:</FONT></b> <BR><INPUT
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      Province:</FONT></b> <BR><BR>_______________________</TD>
      size=22 name=require:Country1></TD></TR>
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     <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</b> &nbsp;</FONT><b><font face="Arial,Helvetica">MFI
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     <TD width="181"><FONT face=Arial,Helvetica><b>Group MFI Member Numbers:     <BR><BR>________________________</b>
      Member Numbers:</font></b>
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     <TD width="203"><B><FONT face=Arial,Helvetica>Group CO Email:</FONT></b> <BR><BR>___________________________________________</TD>
      <BR><INPUT size=22 name=Alternate_Email_Address4></TD>
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     <TD width="292"><B><FONT face=Arial,Helvetica>Group XO Email:</FONT></b>  
     <TD width="203"><B><FONT face=Arial,Helvetica>&nbsp;Group CO Email:</FONT></b> <BR><INPUT
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       <BR><BR>___________________________________________</TD>
      size=22 name=require:Email_Address1></TD>
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     <TD width="292"><B><FONT face=Arial,Helvetica>&nbsp;Group XO Email:</FONT></b>  
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       <BR><INPUT size=22 name=Alternate_Email_Address3></TD></TR>
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  <TR>
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    <TD colSpan=3 width="644">
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      <p>&nbsp;</p>
+
    </TD></TR></TBODY></TABLE>
+

Revision as of 05:48, 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. 

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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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