EmailMe Form - Fluffcity Membership Application Form

How did you hear about us? *

Nickname

Full Name *

Email *

Phone Number

### - ### - ####

What's the best time to text/call?

Do you have a facebook page?

My Facebook URL is:

Discreet With Phone Calls? *

Yes

No

Please contact me about news and events *

Yes

No

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

I Am A *

Big Man

Admirer

Both Big Man/Admirer

Discreet With Our Mailings? *

Yes

No

What Are Your Interests? *

Please keep it clean.

What Are You Looking For In This Club? *

I am at least 18 years of age. While attending Fluffcity Socials/Events, I agree to abide by the rules and regulations of Fluffcity. I will not hold Fluffcity or it's officers liable for bodily injury while attending Fluffcity events. You may be asked to bring a Drink,snack or other to a social. *

Please type in "I Agree" to accept the terms

DOB (Required) *

I agree to have my Name and Photo uploaded to the "Members" section of the Fluffcity website. *

Yes

No

File Upload

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Please fill in your message below!

After we receive your application form we will contact you.

I am interested in volunteering for a future event!