CHIC Application Form
Complete and mail to PO Box 17850, Long Beach, CA 90807
Date: _______________
Femme Name: __________________________________________________ Age: ________
Mailing Name: ________________________________________________ Phone: ____-____-________
Mailing Address: ______________________________________________
City: ________________________________________ State: CA Zip: _____________
Special Instructions for contacting you: ____________________________________
_____________________________________________________________________________
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Number of years you have been crossdressing?: ______
Does your family know of your crossdressing?: ______
Where did you learn about CHIC?:____________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Do you know any CHIC members?: ______
If "Yes", list their Femme Names?: ____________________________________________
_____________________________________________________________________________
Describe the extent of your crossdressing( frequency, types of clothing, etc.):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Have you ever been a member of another CD organization?: _______
Name of Organization ____________________________________________
What talent or ability do you posses that you would be willing to contribute to
CHIC?: (use additional sheets as required)
_____________________________________________________________________________
_____________________________________________________________________________
What do you expect to gain from CHIC?: _____________________________________
_____________________________________________________________________________
_____________________________________________________________________________
All responses to this questionnaire are held in strictest confidence.
This application will be used to evaluate your compatibility with our members
and will be returned to you upon completion of membership processing.