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Membership
Application
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.
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:
__________________________________
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MFI Member Number:
______________________ |
Home Phone:
_______________________ |
Email:
___________________________________________ |
Alternate Email:
_______________________________________ |
Current Age:_________ Birthdate:________________________
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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: ___________
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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