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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. 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
Step 1:
Complete the following information.
__________ Mr. __________ Mrs.
__________ Ms. |
Terragnan Name:
First _________________________________
Last _________________________________ |
Mailing Address:
___________________________________________________
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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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