About Poly-NYC Calendar Poly Pride Day Contact Poly NYC  
Personal Ads Press Releases Polyamory Definitions Polyamory Resources Polyamory Links
 
 
 


Filling out the form below will join you to the Polyamorous NYC Announcement email list.

You are under no obligation to fill out anything more than you are comfortable with. The information that you provide will only be used for the purposes of the group and the group alone. No individual personally identifiable info will be sold or traded to any organization other than Polyamorous NYC, TriStatePoly and/or the two New York City Polyamory E-mail Lists. The two primary purposes of this form are 1.) to use as a contact list to keep Polyamorous NYC members informed about upcoming events and 2.) to keep generalized statistical information on the demographics of the group.


Note: Field names in Bold are the only required fields.

 

FIRST NAME

LAST NAME

EMAIL

GENDER
Male
Female
Transgender Specify:
Intersex
Androgenous
Other Specify:

ADDRESS

CITY

STATE

ZIP

IN ADDITION TO THE ANNOUNCEMENT EMAIL LIST, HOW WOULD YOU LIKE TO RECEIVE INFORMATION ABOUT POLYAMOROUS NYC?
Polyamorous NYC Discussion Email list
Polyamorous NYC Town Hall Email list
Snail Mail (Home Address)
Telephone

PHONE #1
PHONE #2

SEXUAL ORIENTATION: (check all that apply)
Lesbian/Gay
Bisexual
Straight
Undefined
Queer
Polyamorous
Nonmonogamous
Monogamous
Other:

CURRENT ROMANTIC STATUS
Single
Couple
Triple
Quad
5+

OUT RATING
Out to everyone
Out to close friends
Discreet
Completely closeted

ADDITIONAL COMMENTS

 

 
 
    ©2007 Polyamorous NYC