The Heartland Naturists Club
New Member and Renewal Application

To join or renew please fill in all blanks and mail the complete form along with payment to the club. Mail-in applications only, no online or email memberships available.

Full Name(s):_____________________________________________________

Address:_________________________________________________________

City/State/Zip: ____________________________________________________

Phone: (_____) ___________________               Date of Birth _____________

Email address: _____  __________________  Secondary email (optional)______ 

Total  enclosed: ___________________________________

Make checks payable to: Heartland Naturists.

Club memberships now are issued on a calendar year basis with pro-rated fees for partial year membership. All are encouraged to join as early in the year as possible to receive member benefits and provide financial support to the club.  The basic fee is $48 for the calendar year. All memberships end December 31st of the current year.

Annual membership fees:

___ Heartland Naturists Membership (individual or couple): $48.00 in January.
   See table below for pro-rated dues after January.
   ___ Heartland Membership if you live over 75 miles from Kansas City: $24 in  January.
    Use table below but divide amounts by two.

___ Heartland Membership - full time student age 18-24: $12.00. School: ______________

___  TNS - The Naturist Society  Membership. $50.00 per year.


Today's Date _________________ Your check number ___________ 

Comments: _______________________________________________

_________________________________________________________

No online or email applications accepted. Please print out this form and mail the completed form and dues payment to:

Heartland Naturists
Box 9103
Shawnee Mission, KS 66201

Thank you for your membership or renewal -- we appreciate your support.

Posted January 16, 2005    rjw/gf