California Tip Toppers Club INC.

Membership Application

Requirements on Home Page of WEB

Name ___________________________________________ Phone (Home) ____________ (Work) _____________

Address _______________________________________________ EMAIL _______________________________

City _______________________ State _____ Zip _____________ Occupation _____________________________

Birth Date _______________ Birthplace ________________________________ Age ______ Height _____ Sex ___

 Marital Status _____________

How did you learn of CTTC ______________________________________________________________________

___________________________________________________________________________________________

What are your Hobbies Interests and Talents? (Don't be Shy!) ____________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Do You Have any suggestions for an event you'd like to attend? ___________________________________________

____________________________________________________________________________________________

Some people like to get more involved than others. Are you Interested in:

___ Holding an event at your home, apartment, or recreation room at your complex?

___ Helping with press releases?

___ Telephone Tree?

___ Planning Social Events?

___ Helping at an event (Clean-up? man the door? work behind the Bar? decorations?

Other: _______________________________________________________________________________________

Do you object to having your address included on our holiday mailing list (forwarded to members only? ________

Please List the two CTTC events you have attended (in Blue text on the WEB  Social Calendar

Date ______________  Event ____________________________________________________________________

Date ______________  Event ____________________________________________________________________

Date ______________  Event ____________________________________________________________________

(* indicates the business function or club activity where you worked at least 1 Hour.)

 

Measured By: _______________________________________________________ Date: ____________________

 

Signature __________________________________________________________ Date: ____________________

Thank you for taking the time and effort to fill out the application. We hope to see you soon!

Please send this application and your $28.00 dues to:

California Tip Toppers Club

2221 DESCANSO WAY

        TORRANCE, CA  90504-3520

and Notify Membership at CAL CLUB MEMBERSHIP