TALL Club of Orange County 

Where TALLS meet in the OC, on the sunny coast of Southern California

Membership Application


Membership Application

 

Name: ________________________________________________________________________

 

Address:  _____________________________________________________________________

 

City:____________________________  State __________  Zip _________

 

Home Phone ____________________________   Cell Phone ___________________________

 

E-Mail Address ________________________________________________________________

 

Height     ______________ feet     _______________ inches

 

Gender ______________ Marital Status ______________ Date of Birth ___________________

 

Interests/Hobbies  ______________________________________________________________

 

______________________________________________________________________________

 

How did you hear about the club? __________________________________________________

 

What event(s) have you attended___________________________________________________

 

______________________________________________________________________________

 

 

_______________________________________________              _______________________

(signed)                                                                                                             (dated)

                                                                                               

(for administrative use only)

 

Verified Height  __________________ by _________________________________________________________

                                                (date)                                       (signed)                                                                   (Club office)

 

Date Verified        __________________  Dues Received  _______________________________________________

 

 

Application Received         _____________________ Voted into membership   __________________________