Please fill out this simple membership form to tell us about yourself.
Once
you become a member, you will be able to join other single professionals
for dining, dancing,
parties, and other social and cultural events.
Name
Address
City
State
Zip
Home Phone
Cell
Phone
E-mail
Profession
Education
Please
describe yourself:
Gender
Male
Female
Date of
Birth
Age
Height
Weight
Marital
Status
Never MarriedDivorcedWidowedSeparated
Ages of
Children, if any
Religious
Background
Hobbies
Art
Bicycling
Cooking Dancing
Music
Museums Outdoor
Activities
Sports Theater
How did
you hear about us?
If you
were referred by someone, please indicate their name
Friendship
Exchange offers several memberships.
Choose the one which best suits your needs
1
Year Membership - $245
2
Year Membership - $295
I understand that Friendship Exchange does not screen members of its social
club nor its guests, and that neither the staff nor the company is to be held
responsible for any actions of any person(s) involved with club activities.
FE reserves the right to deny, cancel, or otherwise terminate membership for
behavior deemed disruptive to FE events or dangerous to others or self or other
due cause. Membership is non-refundable, non-transferable. I am representing
that I am in sufficiently good physical condition so as to be able to participate
in events without jeopardizing my health. I acknowledge that I have read, understand,
and agree to the above terms. I am also attesting to the fact that I am single
as defined by Friendship Exchange and over 21 years of age.
If you do not feel comfortable sending your
credit card information over the internet, you can:
Click on this printable membership application and fax
to 913.599.4811 with credit card information, or
Apply by mail with credit card information or check payable
to:
Friendship Exchange, PO Box 4095, Olathe, KS 66062
