DFW BIG MEN'S CLUB
P. O. BOX 227262, DALLAS, TEXAS 75222-7262
(214) 264-2449 
MEMBERSHIP APPLICATION
PLEASE PRINT

How did you hear about us? __________________________________________________
Nickname/Preferred Name: ___________________________________________________
Last Name: _______________________________________________________________
Street/P. O. Box: ___________________________________________________________
City: ____________________________________St: _______________Zip: ___________
Phone Number: (______) ____________________
Best time to call: ________________________
DOB: ____/____/____  (required)       
I am a(n): Big Man / Admirer / Both
Do we need to be discreet with phone calls?     Y/N
Do we need to be discreet with our mailings?   Y/N
Interest: __________________________________________________________________
What are you looking for in this club? __________________________________________

Membership fee for 1 year is $20.00 single or $30.00 couple.

I am at least 18 years of age.  While attending DFW Big Men's Club events, I agree to abide by the rules and regulation of the DFW Big Men's Club.  I will not hold DFW Big Men's Club or it's officers liable for bodily injury while attending DFW Big Men's Club events.


Signed: ________________________________________________________ Date: _____/_____/_____


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Membership start date ______/______/______ Dues paid $________________________ Date paid _____/_____/______