Club or Association Application

	Club Name
	Full Mailing Address
	Name of Club President
	Phone # of Club President
	eMail Address of Club President
	Full Mailing Address of Club President
	Name of Club Secretary
	Phone # of Secretary
	Full Mailing Address of Club Secretary
	Name of Designated Club Contact
	eMail Address of Designated Club Contact
	Number of Resident Club Members
	Number of Non-Resident Members
	Date of Club Annual Meeting
	Date of this Application

Check box below if your club is declining to purchase
Liability and D&O insurance through TCI:

 

TCI Club Insurance

You must download, complete and return the
TCI Club Insurance Application as this document
requires a certification signature.

Download and mail or fax-return the TCI Club Insurance
Application as soon as possible if your club desires this
protection.

If you have completed this section of the TCI membership
application and wish to submit your application, click here
to go to the bottom of the page to indicate your acceptance
of the Submission Agreement; then click the "Submit" button.

 

Company or Corporate Application

Annual Dues: $250

(As many as 5 company representatives allowed)

	Company Name
	Full Mailing Address
	Type of Business
	Name of Company's Primary Member
	Primary Contact Phone
	Primary Contact eMail
	Designated Secondary Company Representative
	Designated Secondary Company Representative
	Designated Secondary Company Representative
	Designated Secondary Company Representative
	Date of this Application

If you have completed this section of the TCI membership
application and wish to submit your application, click here
to go to the bottom of the page to indicate your acceptance
of the Submission Agreement and click the "Submit" button.

Individual Membership Application

Annual Dues: $50

	Individual Applicant's Name
	Individual Applicant's Full Mailing Address
	Individual Applicant's Employer, Business or School
	Individual Applicant's Phone
	Individual Applicant's eMail Address
	Date of this Application

Submission Agreement

By submitting this eletronic application the applicant declares
that all information entered on this form is true and accurately
represents the applicant.

Further, applicant agrees to honor the rules and bylaws of
Transportation Clubs International at all times.

In order to send this form, applicant must check box below to
indicate concurrence with this submission agreement:

Make membership dues checks payable to
TRANSPORTATION CLUBS INTERNATIONAL
and mail to:

T.C.I.
P.O. Box 2223
Ocean Shores, WA 98569

Phone 877-858-8627     Fax 360-289-3188