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Niagara Naturists Membership Transfer Application

(This form is used to transfer your membership from an AANR Direct Membership (or from another club)

"Note, couples must complete two applications

This is a request to transfer my basic membership from (Former club name):
to Niagara Naturists
First Name:
Middle Initial:
Last Name:
Email:
Note, Each member must have their own unique email address in order to access their online profile. Shared emails will only access one of the profiles.
Please enter your AANR membership number:

 

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Phone:	Format: 555-555-1212
Mailing Address Line 1
Mailing Address Line 2 (optional)
City
State	--Select State/Province-- Alabama Alaska Alberta, Canada Arizona Arkansas Armed Forces Americas (Excluding Canada) Armed Forces Europe, Middle East, Africa, Canada Armed Forces Pacific British Columbia, Canada California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba, Canada Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick, Canada New Hampshire New Jersey New Mexico New York Newfoundland & Labrador, Canada North Carolina North Dakota Northwest Territories, Canada Nova Scotia, Canada Ohio Oklahoma Ontario, Canada Oregon Pennsylvania Prince Edward Island, Canada Puerto Rico Quebec, Canada Rhode Island Saskatchewan, Canada South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon, Canada
Zip:
Birth Date	Month January February March April May June July August September October November December   Day 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   -Year- 2005 2 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 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 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903
By checking this box and printing my name, I am certifying that I wish to transfer my membership:
Print Name:

Niagara Naturists -  contact us at niagaranaturists@gmail.com 

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