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San Fernando Valley Tip Toppers
Online Application

MEMBERSHIP REQUIREMENTS:
Minimum age: 21 years.
Minimum height: 5'10" for women, 6'2" for men
(measured in stocking feet).

ANNUAL DUES:
Regular Members: $26 for individual, $37 for Married Couple
Affiliate Members: $19 for Individual, $28 for Married Couple
Newsletter Subscription: $17

If you prefer not to submit this information ONLINE, you may click HERE
for a printable version (then use your browsers PRINT button to print a hard copy.)

* = Required information

I wish to join as:

Note: Please do not send payment for dues until you have been voted in.

*Name:      

Nickname:

*Address:

*City:      

*State:      *Zip:

*Home Phone:      Work Phone:

Occupation:

*Height: ft. in.

*Sex:

*Birthday:

E-mail address:

Go ahead and publish my E-mail address in the newsletter if I become a member.

Interests:

Hobbies:

Qualities you
seek in others:

Are you a member of another TCI affiliated club?

Yes ----> Club:
No

*How did you find out about the San Fernando Valley Tip Toppers?

What club activities would you like to participate in? Social, Administrative, Newsletter

Periodically, the club publishes a roster of all members, including their address and phone numbers. That information, as it pertains to you, will be automatically included in the next edition unless you specifically request that all or some be deleted.

Please do not publish my: Address, Phone Number, E-mail address

By clicking on the check box below, you certify that all statements made in this application are true and agree and understand that any misstatements of material facts herein will cause forfeiture on your part of the right to become a member of the San Fernando Valley Tip Toppers. You also understand that the above information is to be kept strictly confidential and is not a commitment in any way, shape or form other than to become a Regular Member upon satisfaction of the membership requirements. You further acknowledge that your address and phone number will be published (except as noted above), and you will hold the Club free and harmless for any and all consequences of that publication (membership information will NOT be sold).

* I accept these terms.

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