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Men 6'2" or taller		Women 5'10" or taller
	21 years and older

MEMBERSHIP APPLICATION

*	= Required field!
*Name:
*Email:
*Address:	Apt/Suite:
*City:	*St:  *Zip:
*County:	Broward Broward Palm Beach Miami-Dade Brevard Martin Other:
*Phone:	(Home) (Cell) (Work)  Gender: Male Male Female
*Date of Birth:	0 January February March April May June July August September October November December 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1989 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925
*Height:	6 5 6 7 Feet 2 0 1 2 3 4 5 6 7 8 9 10 11 Inches    Marital: Single Single Divorced Married Widowed Separated
*Profession:
*How did you hear about us?
Other organizations you are a member of:
Other tall clubs you have belonged to:
*Have you ever been	declared persona-non-grata in a TCI Tall Club before? Yes No if yes, explain . . .
*Do you understand	we will never give,sell or misuse your personal information? Your personal information will only be used internally for purposes of promoting this Club or Tall Clubs International. Do you understand your picture may appear in our newsletter and online at our website, always in good taste, but not at your option? Yes No
*Club Pledge	I do solemnly swear that I am over 21 years of age; will promote, uphold and support the Tall Friends of Fort Lauderdale and Tall Clubs International as a social group for tall people; with the goal of fostering friendships among tall people. Behavior which is contrary to the spirit of Tall Clubs, which is offensive or undermines the purpose and spirit of this organization will be grounds for denial of membership or dismissal from the Tall Friends of Fort Lauderdale and being declared persona-non-grata in Tall Clubs International. I further certify that any and all club business, promotions, events, representations, etc. are exclusively and solely for the promotion of the Tall Friends of Fort Lauderdale and/or Tall Clubs International and its mission, and when representing/participating in the organization, I will not use my privileged access to members, prospects and the public for private and/or personal or commercial gain or promotion. Information I receive about members or prospects will be treated in a confidential manner. I further understand omissions of fact or untruths are grounds for denial of membership and/or dismissal from this organization. I swear: Yes No
General Comments: