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03 How do I apply for Membership in Mensa?




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This article is from the Mensa FAQ, by Phil Hill phil@miracle.com with numerous contributions by others.

03 How do I apply for Membership in Mensa?

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                           APPLICATION FORM
 
Mail to:
American Mensa, Ltd.
Dept. Usenet
2626 East 14th Street
Brooklyn, NY 11235-3992
(718) 934-3700
 
Name _______________________________________ Date of birth _____________
 
Address ________________________________________________________________
 
City _______________________________  State ______________ Zip _________
 
Home phone (____) _______________
 
Work phone (____) _______________
 
[ ] Please send me the at-home pre-test.  I understand that if  I  score
    in  the  top  5%,  I  will  be  invited to take the supervised test.
    Enclosed is U.S.  $12 (check or money order) for the pretest.
 
[ ] I wish to go directly to the Mensa-supervised test.  Please send  me
    the name and address of the nearest proctor (a $25 fee is to be paid
    to the proctor.) I understand that if I score in the top 2%, I  will
    be invited to join Mensa.
 
[ ] I claim  exemption  from  testing  and  enclose  prior  evidence  of
    intelligence  test  scores  in the top 2% of the general population.
    Enclosed is my U.S.   $20  (check  or  money  order)  non-refundable
    evaluation  fee.  (If the evidence is being sent to us directly by a
    psychologist or testing institution, please note that the score must
    be  sent on an official letterhead and signed by the psychologist or
    institution responsible for the testing.)
 
Amount enclosed: $___________ (All checks must be drawn on U.S. banks in
                               U.S. funds.)
 
I learned about Mensa through: Usenet newsgroup "rec.org.mensa"
                               Answers to Frequently Asked Questions
                               Prepared by Phil Hill, Boston Mensa
 
________________________________________________________________________
 
________________________________________________________________________
 
________________________________________________________________________
 
 
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It should be noted that the information given as to how to join Mensa
applies only to residents of the United States. Others should write to
one of the addresses given at the end of the FAQ or to Mensa
International, 15 The Ivories, 6-8 Northampton St, London N1 2HY,
UNITED KINGDOM.

 

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