Please fill out the following form

CHIC Membership Application

* denotes required field.

Femme name: *

Male name: *

Age: *

City, State: *

E-mail: *

Phone: Please enter as XXX-XXX-XXXX *

Once your application has been reviewed, a board member will contact you by phone. We strive to maintain your comfort and privacy, so please tell us about any special instructions for leaving a voicemail message. (Is this a private cell number? A home or business phone?) In any case, we will ask for your male name and we will not make any reference to CHIC. The application process cannot proceed without a phone interview.

You must agree to a phone interview for your application to proceed: *

Best days and times to call: *

Special Instructions:

Do you consider yourself heterosexual? Yes No *

How long have you been crossdressing? *

Are you married? Yes No * ;

Does your wife (girlfriend, fiancee, etc.) know? Yes No *

If your wife knows, is she accepting? Yes No

How did you learn about CHIC?

Do you know any current members of CHIC? Yes No

If so, list their (femme) names:

Have you ever belonged to another crossdressing organization? Yes No

If so, which organization, and when were you a member?

Describe the extent of your crossdressing (clothing, wig, makeup, frequency, etc.). Do you go out in public dressed? Where?

*

Describe some of your interests other than crossdressing: *

How will CHIC benefit from your membership?

What do you expect to gain from CHIC?

Your Input: