First Name

Last Name

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How did you hear about the USS Future Imperfect?
Friend/Relative is a member of the Future ImperfectMember referralClub Function/RecruitmentStumbled across your websiteOther

Is there a specific department you wish to join? 

Are you planning on also joining STARFLEET?
No, I'm not interestedNo, but I am interestedWhat's STARFLEET?I'm already a member!

If you are a member of STARFLEET, what is your status?
Unassigned member, will join the Future Imperfect as my primary chapterAlready assigned to another chapter, but I want to transfer my membership to the Future ImperfectAlready assigned to another chapter, but I will keep membership with this chapter, so will join the Future Imperfect as an Associate Member only

Please let us know your SCC Number, if you're a member of STARFLEET, and any other comments you have: