Texas Instruments Retiree Club of Houston

Application for Membership

 

TI’ERS NAME: _______________________________________________   SPOUSE: ____________________


PREFERRED NAMES - TI'ER: ____________________   SPOUSE: ____________________

 

STREET ADDRESS: ____________________________________________________________________________________________

 

CITY: ______________________________________________   STATE: ____   ZIP: ____________

 

EMAIL ADDRESS: ___________________________________________________________________

 

PHONE NUMBER: ________________________ CELL #: _________________________

 

HOW DID YOU LEARN ABOUT THE CLUB? ________________________________________________. WHO RECRUITED YOU?______________________________

 

HOW MANY YEARS DID YOU WORK AT TI? ____________________________


A REMINDER EMAIL GOES OUT AUTOMATICALLY TO EVERYONE PRIOR TO EACH MONTHLY LUNCH MEETING.
DO YOU NEED TO BE CALLED ON THE TELEPHONE AS A REMINDER OF MONTHLY LUNCH MEETINGS? YES____ NO___


CAN WE EMAIL A COLOR COPY OF OUR NEWSLETTER TO YOUR HOME EMAIL ADDRESS? YES____ NO___
HOME EMAIL:_____________________


--------------------------------------------------Below Only for Club Treasurer Use--------------------------------------------------------

 

AMOUNT PAID: __________   DATE: ____________      CHECK NO. ____________

 

 

Print a copy of this form and mail it, along with your check for $10 (this covers TI'er and their spouse) made out to H.T.A., to the club treasurer. Dues are $12 if renewing after March 31.

 

        Gary Luckett

        814 Lakespur Dr.

        Sugar Land, TX 77479

 

[Back to Home Page]