Membership Application
I am a:
Crossdresser (CD)
Spouse / Partner of a CD
Family / Friend of a CD
Other TG
TG Type:
Male-to-Female (M2F)
Female-to-Male (F2M)
Membership Type:
Individual
Joint:
Partner's Name
(alias okay)
:
Member Name
(at least one must be specified)
:
TG
(chosen gender alias)
Name:
Legal
(given biological gender)
Name:
Mailing Information:
Name:
TG Name
Legal Name
Partner's Name
No Name
Street/Box:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code:
How do you want to be contacted for setting up your interview?
E-mail
Home Phone
Work Phone
Cellular Phone
Pager Phone
Are you a Tri-Ess International member?
No
Yes:
Tri-Ess Number:
E-mail Address
Required
Phone Information:
Best One
To Call
Phone
Number
Best Time
To Call
Who To Ask For
Home
Choose One
Anytime
Morning
Afternoon
Evening
Choose One
TG Name
Legal Name
Partner's Name
Work
Choose One
Anytime
Morning
Afternoon
Evening
Choose One
TG Name
Legal Name
Partner's Name
Cellular
Choose One
Anytime
Morning
Afternoon
Evening
Choose One
TG Name
Legal Name
Partner's Name
Pager
Choose One
Anytime
Morning
Afternoon
Evening
Choose One
TG Name
Legal Name
Partner's Name
Occupation:
Choose One
Clerical or Service Worker
Homemaker
Middle Management
Professional/Technical
Retired
Sales/Marketing
Student
Tradesman
Upper Management/Executive
Other
Education:
Choose One
Did not graduate High School
High School
College
Graduate School
Marital Status:
Choose One
Single
Married
Separated
Divorced
Widowed
Birthdate:
Choose Month
January
February
March
April
May
June
July
August
September
October
November
December
Choose Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
19
Choose Year
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
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37
38
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84
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86
87
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89
90
91
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93
94
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98
99
How did you hear about Sigmamubeta?
Choose One
The Center Project
Chat Room
Friend
Sigmamubeta Member
Therapist
Tri-Ess National
Web Search Engine
Web Site Link
Other
How long have you been crossdressing?
years
Does anyone else know you are a crossdresser?
No
Yes
Do you crossdress in public?
No
Yes
Do you think you pass when crossdressed?
No
Yes
Sometimes
Don't Know
Is passing important to you?
No
Yes
Sometimes
Not Sure
Could you go out in public with a group of crossdressers
(not mandatory)
knowing that the group doesn't pass?
No
Yes
Not Sure
Do you need help with:
Clothes
Wigs
Makeup
Other:
Volunteer Interests:
Membership
Publicity
Articles (Newsletter/Web)
Fund Raising
Anything
Please tell us A little about yourself Required