Form
to join:
To join, complete the questionary and submit
your proposal with "[Pt_s]" in
the subject heading:
1. Full name:
2. Photo:
3. Country:
4. Gender:
5. Birthday (day/month/year):
6. Postal address:
7. Telephone(s):
8. Website:
9. Other e-mail addresses:
10. Current professional occupation:
11. Previous relevant professions:
12. Highest educational level attained:
13. Areas of interest / Hobbies:
14. Where did you learn about the Platinum
Society:
15. Native language:
16. Languages you prefer to use for
correspondence, in order of preference:
17. All scores on IQ-Tests (supervised
or not):
18. Membership ID at other High IQ Societies
(could you, if requested by Sigma, present any proof of it ?):
19. In which way do you think you will
be able to contribute to Platinum Society's growth and promotion? (For instance:
propagation among your friends, include link on your web site, creating a more
sophisticated web site for Platinum):
Please feel free to supply us any other
information that you may find important.