DATE   

NAME OF CLUB 

WHEN ORGANIZED                    NUMBER OF MEMBERS 

NAME OF PRESIDENT 

ADDRESS 

NAME OF SECRETARY  

ADDRESS     

NAME OF SPONSORING CLUB

AMOUNT OF MONEY ENCLOSED @  $5.00 PER MEMBER     

ENCLOSE A LIST OF NAMES, ADDRESSES, PHONE NUMBERS, E-MAILS AND ZIP CODE + 4 FOR EACH MEMBER.  PLEASE SEND 6 COPIES TO TGCI TREASURER, 1 COPY TO SPONSORING CLUB AND 1 COPY FOR RECORDS.

DATE ACCEPTED BY BOARD:   

 

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