Membership Application / Renewal Form

Single  Couple  New  Renewal
(Please check boxes where required.)

To become a member or renew please print this form and fill in all spaces completely.

Full Name: ________________________ Nickname: __________ Date of Birth: ____/____/____ 

Address: __________________________________________________________________________

City: _______________ State : ______  Zip/Postal Code: _______-____Country:____________

Phone: (_____) _____-_______   Best time to call:_______E-Mail:___________________________

If couple's membership, list partner's full name:_________________________________________
                                                                                                       (Partner must also fill out their own separate form.)

Are you a member of any of the following nudist / naturist organizations?

 The Naturist Society     Naturist Action Committee    American Assoc. of Nude Recreation
 Gay Naturists International    CMEN
 Local Gay Naturist Group(s):  Please list:  ____________________  ________________________

Membership Directory  IMEN maintains a member directory on the IMEN website for the sole use of the members who choose to be listed therein. No one will be listed without their full name and address. Members are required to post at least one picture of themselves, preferably nude. The photo should be in a naturist setting (outdoors) if at all possible and may be from the waist up (torso) or full frontal (showing it all) - the choice is yours. No photos with sexual content will be published.
 DO NOT list me in the Membership Directory. I WILL NOT receive a directory.
 LIST ME in the Membership Directory.  I understand I will receive a directory.
 Include my telephone number in the directory.
 DO NOT include my telephone number in the directory.
 Include my birth date in the directory.
 DO NOT include my birth date in the directory.

Please check any of the following items that are of interest to you. A code for these items will appear with your listing in the directory.
 CORRESPONDENCE  Email / Pen pals with other IMEN members. 
 HOSPITALITY Hosting other IMEN members overnight in my home, provided they have contacted me in advance, either in writing, email or by phone. (Remember, you will not be staying in a hotel, please show your host how much you appreciate his hospitality.)
 PHOTO EXCHANGE Exchanging nude photos with other IMEN members. 
 VIDEO EXCHANGE Exchanging nude videos or films of mutual interest, professional or homemade, with other IMEN members.

Please use the following space to include a brief description of yourself, your interests, hobbies, or other comments to appear in your directory listing.  (IMEN reserves the right to edit directory listings.  Please limit to 25 words or less.)
___________________________________________________________________________________

One Year Membership Rates
A couple must share the same address

     Single Couple
USA  $30  $35
Canada  $35  $40
Overseas  $50  $55

Make all checks or money orders payable in US dollars to:
IMEN Inc.  If paying by VISA or MASTERCARD, please
complete the following:
Credit card Number _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _
Expiration Date _ _ / _ _
I authorize IMEN, INC. to charge my credit card.
Cardholder Signature:_______________________________

My signature indicates that I am a male at least 21 years old: ___________________________
Today's Date: ___/___/___
Mail this form with payment to: IMEN, P.O. Box 578, Rising Sun, MD.     21911