Membership Registration

Please complete this form to register for the membership of the Smoothy Club

Your first name: *

Name: *

Date of birth: *

dd/mm/yyyy

Man / Woman *

		Man
		Woman

First name of your partner:

Date of birth:

dd/mm/yyyy

Man / Woman

		Man
		Woman

Address: *

State:

Postal code / Zip code *

City: *

Country: *

Telephone

E-mail *

Questions, remarks:

After submitting you will be forwarded to the Sign up page of our Smoothy Community site.
Fill in your email address, choose your password, fill in your birthday and the code shown on the form. Click "sign up" and you're in!

After logging in, you will be asked to make your personal profile with some details about your self.
When you have done this, your request is pending. We will send you an e-mail with a payment request.
On receipt of your payment of euro 30 for a life time membership and entrance to two (!) members sites, we will approve your membership.

Join now and we will send you a free naturist DVD as welcome present (as long as stocks last)

* = Input is required