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.