Club or Association Application Form

	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:

(Scroll to bottom to submit club application)

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TCI Club Liability Insurance Application Form

If your club desires the optional liability insurance, you must
complete and return the TCI Club Insurance Application.

Insurance applications require the signatures of the club
secretary/treasurer as well as the club president to certify
the information on the application.

Contact Katie Dejonge to determine the exact cost
of the insurance premium for your club:

(Pacific Time Zone)

Toll-Free from anywhere within the continental U.S.:

1-877-858-8627

Toll-Free from anywhere in Canada:

1-877-858-8628

Mail a completed insurance application to:

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

 

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Company or Corporate Application Form

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.

(Scroll to bottom to submit company application)

 

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Individual Membership Application Form

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

(Scroll to bottom to submit individual application)

 

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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