Application for Membership in Ring 50 of the

International Brotherhood of Magicians

PLEASE PRINT CLEARLY
Date________________

Name in Full ____________________________________________________________________________

First Middle Last

Street Address ___________________________________________________________________________

Street City State ZIP

Telephone ______________________ (day/eve.) Email _________________________________________

Professional Performing Name (if any) _______________________________________________________

International Membership No.__________________ Dues paid to (date)________________________

Date of Birth_________________________ Nationality______________________________________

Business or Profession____________________________ ________________________________________

Brief History of Your Interest in Magic_______________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Are you a (check one): � Professional � Semi-pro � Amateur � Beginner � Collector � Dealer

List any other magical organizations to which you belong: _______________________________________

______________________________________________________________________________________
hereby apply for membership in I.B.M. Ring 50, the National Capital Ring, and pledge that I will abide
by the Constitution and By -Laws of this Ring. I submit the required dues for this Ring, in cash or check
I ($18) payable to “IBM Ring 50” until February of __________, which dues shall be refunded if my
application is rejected.

Recommended by two Ring 50 members: X____ .

Applicant’s Signature
___________________________________
Ring 50 Membership was voted on and
___________________________________________
__________
Granted __________________, 20_____.
Rejected _________________, 20_____.

_________________________________
President, Ring 50
Rev 6/07