
TMCI Membership Application
Dues for 2012
NAME
ADDRESS
TOWN - STATE - ZIP CODE -
If you will allow your phone, and/or email address to be published in the club membership list, please indicate: Yes No
Email address:
Phone number:
Cell Phone Number:
MEMBERSHIP DUES:
$15.00 ______________ FOR SINGLE MEMBERSHIP
$20.00______________ FOR FAMILY MEMBERSHIP
LIFETIME MEMBERSHIP DUES:
$150.00 _____________ FOR SINGLE MEMBERSHIP
$200.00_____________ FOR FAMILY MEMBERSHIP
PLEASE MARK APPROPRIATE BLANKS FOR YOUR MEMBERSHIP
SEND DUES TO:
CLAUDIA BUSER
TMCI
333 COMANCHE CIRCLE
HUTTO, TX 78634
