Travelers' Century Club Membership Application To apply for TCC membership, fill out this form and check off the destinations you have visited on the list below. Then mail your application with the appropriate initiation fee and dues payment to: Travelers' Century Club 8939 S. Sepulveda Blvd., Suite 102 or E-mail: [email protected]Los Angeles, CA 90045 INSTRUCTIONS: New members must pay the $100 per person initiation fee plus the first yearly dues payment (membership fees are detailed at the bottom of this page). Your membership will not be processed without the appropriate fee. You will receive a TCC Membership Card and Membership Certificate, along with quarterly issues of our publication, The Centurian. Please allow 6-8 weeks for processing of membership. This fillable PDF form may be filled out on your computer and printed for submission to the TCC, or you may print the blank form and complete your application by hand. Number of destinations NAME: ______________________________________________ visited (from list below): ________ SPOUSE (IF ALSO JOINING): ____________________________ ADDRESS ____________________________________________ _____________________________________________________ TEL: _________________________________________________ E-MAIL: ______________________________________________ Payment Method: Check American Express Visa MasterCard PayPal (The Travelers' Century Club PayPal ID is [email protected]) Name on credit card: ____________________________________ Payment amount: _______________ Card number: __________________________________________ Expiration date: _________________ Cardholder's signature: ________________________________________________________________ MEMBERSHIP FEES: Membership fees are on an annual basis and are not prorated. Members joining in November or December will have their fees applied to cover the following year. Please note that higher dues for members requesting mailed Info Files are to cover the cost of printing and mailing (alternatively members may read Info Files on the TCC Forum Web site). • Initiation fee: $100 per member, $100 for spouse Plus: • Yearly dues with mailed Info Files** U.S. residents: $85, spouse $65* (residents of other countries: $95, spouse $65*) • Yearly dues without mailed Info Files U.S. residents: $75, spouse $65* (residents of other countries: $85, spouse $65*) PROVISIONAL MEMBERSHIP: If you have 50 or more countries and territories and you cannot yet qualify as a full member, you are welcome to attend club meetings. At your request, we will put you on a Provisional Member mailing list to receive The Centurian newsletter. Yearly dues for Provisional Members are listed below (no initiation fee required). • Provisional Membership with mailed Info Files** U.S. residents: $85 (residents of other countries: $95) • Provisional Membership without mailed Info Files U.S. residents: $75 (residents of other countries: $85) *Spouse rate applies to second member sharing the same address. All of the same membership requirements apply to join as a spouse. **Info Files are trip reports submitted by Club members.
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Travelers' Century Club Membership Application
To apply for TCC membership, fill out this form and check off the destinations you have visited on the list below. Then mail your application with the appropriate initiation fee and dues payment to:
Travelers' Century Club 8939 S. Sepulveda Blvd., Suite 102 or E-mail: [email protected] Los Angeles, CA 90045
INSTRUCTIONS: New members must pay the $100 per person initiation fee plus the first yearly dues payment (membership fees are detailed at the bottom of this page). Your membership will not be processed without the appropriate fee. You will receive a TCC Membership Card and Membership Certificate, along with quarterly issues of our publication, The Centurian. Please allow 6-8 weeks for processing of membership. This fillable PDF form may be filled out on your computer and printed for submission to the TCC, or you may print the blank form and complete your application by hand.
Number of destinations NAME: ______________________________________________ visited (from list below): ________ SPOUSE (IF ALSO JOINING): ____________________________ ADDRESS ____________________________________________ _____________________________________________________ TEL: _________________________________________________ E-MAIL: ______________________________________________
Payment Method: Check American Express Visa MasterCard PayPal (The Travelers' Century Club PayPal ID is [email protected])
Name on credit card: ____________________________________ Payment amount: _______________ Card number: __________________________________________ Expiration date: _________________
MEMBERSHIP FEES: Membership fees are on an annual basis and are not prorated. Members joining in November or December will have their fees applied to cover the following year. Please note that higher dues for members requesting mailed Info Files are to cover the cost of printing and mailing (alternatively members may read Info Files on the TCC Forum Web site).
• Initiation fee: $100 per member, $100 for spouse
Plus: • Yearly dues with mailed Info Files**
U.S. residents: $85, spouse $65* (residents of other countries: $95, spouse $65*) • Yearly dues without mailed Info Files
U.S. residents: $75, spouse $65* (residents of other countries: $85, spouse $65*)
PROVISIONAL MEMBERSHIP: If you have 50 or more countries and territories and you cannot yet qualify as a full member, you are welcome to attend club meetings. At your request, we will put you on a Provisional Member mailing list to receive The Centurian newsletter. Yearly dues for Provisional Members are listed below (no initiation fee required).
• Provisional Membership with mailed Info Files** U.S. residents: $85 (residents of other countries: $95)
• Provisional Membership without mailed Info Files U.S. residents: $75 (residents of other countries: $85)
*Spouse rate applies to second member sharing the same address. All of the same membership requirements apply to join as a spouse. **Info Files are trip reports submitted by Club members.
Name: ________________________________
Travelers' Century Club Membership Application ! Page 2
LIST OF TCC COUNTRIES AND TERRITORIES:
PACIFIC OCEAN (39)
! Australia ! Bismarck Archipelago (New Ireland, New Britain, Bougainville, Admiralty Islands) ! Chatham Islands ! Cook Islands (Rarotonga, Aitutaki, Penrhyn) ! Easter Island ! Fiji Islands ! French Polynesia (Tahiti, Tuamotu, Austral, Gambier) ! Galapagos Islands ! Guam ! Hawaiian Islands ! Juan Fernandez Islands (Robinson Crusoe Is.) ! Kiribati (Gilberts, Tarawa, Ocean Island) ! Line/Phoenix Islands (Fanning, Christmas, Canton, Enderbury) ! Lord Howe Island ! Marquesas Islands ! Marshall Islands, Rep. of (Majuro, Kwajalein, Eniwetok) ! Micronesia, Fed. States of (Pohnpei, Kosrae, Chuuk,Yap, Caroline Islands) ! Midway Island
! Nauru ! New Caledonia & Deps. (Noumea, Loyalty Islands) ! New Zealand ! Niue ! Norfolk Island ! Northern Marianas (Saipan, Tinian) ! Ogasawara (Bonin, Volcano Island, Iwo Jima) ! Palau, Republic of ! Papua New Guinea ! Pitcairn Island ! Ryukyu Islands (Okinawa) ! Samoa, American (Pago Pago) ! Samoa (Apia) ! Solomon Islands (Guadalcanal, New Georgia, Tulagi) ! Tasmania ! Tokelau Islands (Fakaofu, Atafu, Union) ! Tonga (Nukualofa) ! Tuvalu (Ellice Island, Funafuti, Vaitapu) ! Vanuatu (New Hebrides Islands) ! Wake Island ! Wallis & Futuna Islands
NORTH AMERICA (6)
! Alaska ! Canada ! Mexico
! Prince Edward Island ! St. Pierre & Miquelon ! United States (Continental)
CENTRAL AMERICA (7)
! Belize (British Honduras) ! Costa Rica ! El Salvador ! Guatemala
! Honduras ! Nicaragua ! Panama
SOUTH AMERICA (14)
! Argentina ! Bolivia ! Brazil ! Chile ! Colombia ! Ecuador ! French Guiana
! St. Kitts & Nevis ! St. Lucia ! St. Vincent & the Grenadines ! Trinidad & Tobago ! Turks & Caicos Islands ! Virgin Islands, British (Tortola, etc.) ! Virgin Islands, U.S. (St. Croix, St. John, St. Thomas)