Membership Application Name First Last SpouseAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Alternate Email PhoneAlternate PhoneFamily Members:**ChildDate of Birth **For family members, 2 of the following must apply: 1. Immediate family member 2. A dependent on income tax 3. Living in the same household Referred by (for New Memberships Only)Membership*FamilyCoupleMembership Type*NewReturningTime*May 15th or beforeMay 16th and afterTime*April 1st or beforeApril 2nd or afterPayment Type*Check or Money OrderPayPalPayment Type*Check or Money OrderPayPalPayment Type*Check or Money OrderPayPal *Online payment via PayPal is not available for this option. Please mail your check to: Please bring payment to the club on your next visit *Online payment via PayPal is not available for this option. Please mail your check to: Please bring payment to the club on your next visit.Tax Price: $0.00 Total $0.00 SignatureDate Date Format: MM slash DD slash YYYY Typing your name here indicates that you have reviewed, understand and will abide by Tara Club rules. This iframe contains the logic required to handle Ajax powered Gravity Forms.