TI’ERS NAME:
_______________________________________________ SPOUSE:
____________________
STREET ADDRESS:
____________________________________________________________________________________________
CITY:
______________________________________________ STATE:
____ ZIP: ____________
EMAIL ADDRESS:
___________________________________________________________________
PHONE NUMBER:
_________________________________________________
HOW DID YOU LEARN ABOUT THE
CLUB? ________________________________________________________________________________________
HOW MANY YEARS DID YOU WORK AT
TI? ____________________________
CAN WE EMAIL A COLOR COPY OF OUR NEWSLETTER TO YOUR HOME EMAIL ADDRESS? YES____ NO___
HOME EMAIL:_____________________
AMOUNT PAID: __________ DATE: ____________ CHECK NO. ____________
Print a copy of this form and mail
it, along with your check for $10 made out to H.T.A., to the club treasurer. Dues are $12 if renewing after March 31.
3910 Plum Hill Lane
Missouri City, TX 77459