The Comstock Grizzlies

Last Name:________________________________________________________________

First Name:________________________________________________________________

Nick Name (if any):_________________________________________________________

Mailing Address:
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City, State, ZIP:_______________________________________________________

Home Phone: (______) ______-_____________

Email Address:_____________________________________

I, the undersigned, understand that the Comstock Grizzlies of Reno, Nevada is a non-profit gay social organization for men.  I also understand that annual membership dues are $25.00 for full members rate of  and that annual associate membership dues for those who live outside the Reno-Sparks area are $12.50.  (Prorated dues are available at a rate of $3 per month for the entire remainder of the calendar year for those who join after January.)   I also understand that all information disclosed in this form will be held in the strictest confidence and will not be disclosed in any manner except as noted above.  The Secretary of the Comstock Grizzlies will be the holder and keeper of these records.  I also understand that as a current paid in full member of the Comstock Grizzlies that I will be issued a membership card which will entitle me to the privileges and honors of membership in this social organization.  I, at any time, may request in writing that I wish to terminate my membership and my name will be removed from the membership roster.  I also understand that I will not receive any refund of dues or money paid in advance.  I also understand that my membership may depend on a vote of the existing membership of the Comstock Grizzlies.

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Applicant's Signature & Date

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Secretary's Signature & Date

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President's Signature & Date

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Sponsor's (if any) Signature & Date

Optional Information

Birthdate:______/______/__________    T-shirt size:___________

Hobbies & Interests:
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Likes & Dislikes:
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Functions, outings, events, & other things you would like to see the Comstock Grizzlies as a whole participate in:
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Are you able to host a general membership meeting at your home?_____________

Are you able to provide transportation to club meetings & events for other members who may need it?_____________

Can your name, phone, and/or email address be added to the membership roster that is distributed to other active members of the club?  (Please note that the roster will be available to the elected officers at all times regardless of your answer.)_____________

Height:_____________ Weight:_____________

Print this page, fill it out and send by postal mail to:
Comstock Grizzlies
PO Box 60535
Reno NV 89506
Or copy and paste into an email, fill it out and send it to: Admin@ComstockGrizzlies.com

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