When Filling out the Application Please Keep the Following in Mind

MEMBERSHIP APPLICATION

Welcome to PRIME TIMERS CONNECTICUT, a group that offers you the opportunity to participate in an active and dynamic social environment.

When filling out the Application please keep the following in mind:

If you have a partner living at the same address, each partner must fill out a separate Membership Application. This way each member’s interests, birthday and agreements may be honored

Take time when checking the Volunteer and Interests boxes to make sure that you have a reasonable commitment to that item. Your response will be placed in a confidential computer database and extracted to produce lists of men with similar interests, etc. Members may request a list (from any board member) of fellow Prime Timers with the same interests. For example, if you want to plan a ship cruise, you may request names of other Prime Timers who have indicated the same interest in a ship cruise! Any Volunteer or Interest group may be requested. Additionally, as a listed member you will receive a roster of other listed members, which includes their names, addresses, telephone numbers and email addresses.

Members will receive monthly newsletters, monthly calendars of events and updates via email as part of their yearly dues.

Again, welcome to Prime Timers. Please take your time in completing this application and return it with your membership fee to any board member or to the address listed on the other side of this form. Welcome aboard! Your active participation is eagerly anticipated.

If you have any questions contact:

Roy Moeckel 860-643-4548

Or email us at: [email protected]

ctmemapp Connecticut Membership Application I wish to join/renew membership in Connecticut Prime Timers, a social organization for mature men and their admirers.

Name______Birthday______Partner ______

Street Address ______City______State/Zip______

Phone ______E-mail______

Annual dues: $25.00

As an active member I will volunteer to work in the following areas: Board Member  Transportation  Host Parties  Committee Work  Phone Alerts  Picnic Organizing  Newsletter  Assist Members  Host Visiting Members 

My interests are checked below:

FOOD: PERFORMING ARTS: INDOOR:

Pot luck dinners/ Hosting/attending  Country Music  Board Games  Picnics  Classical Music  Card Games  Dine-out  Stage Shows  Pool Parties  Solo Performers  Movies/Videos  Personal Computers  Gym Workouts  Crafts/hobbies  GROUP TRIPS: OUTDOORS: Discussion Groups  Book Group  Ship Cruises  Bicycling  Sex  Holiday Travel  Sailing/Boating  Antiques  Fishing  Museums  Camping  Sports Events  Hiking  Bar Night  Golf 

Please list any other activities and/or suggestions:

PRIME TIMERS CONNECTICUT is a not-for-profit, noncommercial, nonsectarian and nonpartisan organization open to all gay and bisexual men and their partners, over the age of 21, who subscribe to our purposes of socialization and fellowship in a safe environment.

PRIME TIMERS CONNECTICUT does not tolerate discrimination based on race, color, belief or non-belief, national origin or disability. Any member, who speaks or acts in a manner contrary to this policy, may have their membership revoked. Submission of this application affirms your agreement to these policies.

Yearly membership dues are $25.00 per person . This covers email newsletters and updates. Please include your check for membership, which includes membership and participation in Prime Timers Worldwide, giving all of us reciprocal benefits! Make your check payable to: Prime Timers Connecticut

And mail to: Ct Primetimers PO Box 8057 Manchester, CT 06040

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