Please print off this page, fill in the information, and
mail to us with your check!
Name_________________________
Address_______________________
City__________________________
State_________________________
Zip Code______________________
County________________________
Age__________________________
Phone________________________
Fax__________________________
( ) New ( ) Renewal
( ) Adult with the T&PC (1 year)......$25.00
( ) Adult with the T&PC (2 year membership)…..$45.00
( ) Adult with the T&PC (3 year membership)…$65.00
( ) Adult without T&PC (1 year).......$15.00
( ) Family with T&PC (1 year)….$25.00 + $1.00 each
additional member. Names of each additional
member______________________________________________________
( ) Junior Membership (age 15&younger)…$15.00-includes
T&PC Age___
( ) Family without T&PC (1 year).....$16.00
( ) Lifetime with T&PC .....$365.00
( ) Lifetime Without T&PC ....$150.00