Applicant: 
    Gender:   male  female             Date of birth:
    Occupation:
Co-Applicant:
    Gender:   male   female           Date of birth:
    Occupation:
Mailing Address:
    Street:
    City : State: Zip:
Telephone :   E-Mail:
Please list other Nudist Clubs or Organizations you are or have been affiliated with:
           

Couple:  Premium Membership (Bare Hunters, AANR, & Naturists . $121.50
Single:    Premium Membership........................................................  $  92.00
Couple: AANR Membership (Bare Hunters,& AANR) .....................$ 71.50
Single:   AANR Membership ............................................................$ 42.00