National Fantasy Fan (N3F) Membership Application Your personal information will not be sold or used for non-club purposes. Please make your selections carefully and double/triple check spellings of pertinent information (ie: name, address, e-mail, etc.). Also, please be sure to read the information thoroughly at the end of this form. ___New Member ___Reinstatement ___Joint Membership ___ Gift Membership Person 1 (for joint and single memberships): First Name: MI: Last Name: Nickname: Date of Birth (for the Birthday Bureau): VALID E-mail: Occupation: Marital Status: ___ Married ___ Single Gender: ___ Male ___ Female ~~~~~ Person 2 (for joint memberships only - if not a joint skip to "Address"): First Name: MI: Last Name: Nickname: Date of Birth (for the Birthday Bureau): VALID E-mail: Occupation: Marital Status: ___ Married ___ Single Gender: ___ Male ___ Female ~~~~~ Address: City: State or Province: Postal Code: Country: Phone: Today's Date: ~~~~~ Check all that you would like listed in the Membership Roster which is printed in The Fan and The e-Fan periodically. (Selecting any of the first three options automatically includes your name.): ___ Mailing/Street Address ___ E-mail Address ___ Phone Number ___ Name Only ___ None of the Above ****************************************************** Please check ALL of your current Science Fiction and Fantasy (SF/F) related interests. If a joint membership check all that apply to both of you combined. ___ Amateur Press Associations (APA’s) ___ Art ___ Cartooning ___ Computers ___ Conventions ___ Correspondence (penpals) ___ Collecting ___ Artwork ___ Books ___ Comics/Manga ___ Fanzines ___ Other: ___ Editing ___ Filksinging ___ Games ___ Movies/T.V. ___ Online Activites ___ Reading ___ Reviewing ___ Round Robins (group letters) ___ Taping ___ Audio ___ DVD/Video ___ Teaching Science Fiction ___ Writing ___ Other: ~~~~~ Which would you prefer?: ___The e-Fan in .pdf format sent to your email address? OR ___The Fan printed and mailed to your home address or PO Box? How long have you been interested in Science Fiction and Fantasy?: How long have you been involved in Fandom?: List any other clubs you are or have been a member of: List any conventions you've attended: What Prozines and Fanzines do you read if any?: What is your favorite type of SF/F?: Who are your favorite SF/F Authors: Are you interested in online activities? If yes, what type?: Which (if any) of the following would you be willing to help the Club with? ___ Artwork ___ Corresponding ___ Publishing ___ Recruiting at Conventions ___ Writing for club publications ___ Organizing Activities ___ Other: Name of Sponsoring Member (if any): ********************************************************* Dues are $18 per year ($22 for Joint Memberships) which includes subscriptions to the club’s fanzine as well as other activities and benefits. Make checks or money orders payable to the Treasurer "William Center" (NOT N3F). All payments must be made in U.S. funds. Mail dues and application to the Secretary Dennis Davis, 25549 Byron St., San Bernadino, CA 92404-6403. If you would like to join or renew online please visit http://nfff.org Please allow 8 weeks for your first zine to arrive.