J A N U A RY • F E B R U A RY 2 0 1 5 In an effort to maintain current and correct records, TLCA requires an annual application from all members whether new or renewing. If you would complete each line, we can easily process your application. PLEASE PRINT New Member Name: Address: TLCA Membership Application Renewal If this is a renewal, write ID number here: Birth Date M/D/YR: City: I/We hereby apply for membership in the Toyota Land Cruiser Association for Toyota vehicle owners only. We will obey all rules and regulations set forth by the Board of Directors as allowed by the Association Bylaws. I/We understand that/our name and other information may be given to other members for the express purpose of contacting fellow members in a given area. I/We also understand that this information may be given to Associate Members for use in membership verification or for marketing their products only. This information will NOT be sold to any outside companies. State Home ( ) Work ( ) Zip Code: Phone(s) Email Address: Year of Toyota (only one required) Model: Chapter Member: Yes No Chapter Name: Yes No Which? Year: Are you affiliated in other 4WD organizations? If you are a new member, how did you find out about TLCA? If referred by a member, who? Their TLCA Member # PLEASE ALLOW FOUR TO SIX WEEKS FOR MEMBERSHIP PROCESSING TLCA Membership (includes: ID card, six issues of Toyota Trails via USPS bulk rate) NOTE: USPS bulk mail takes two to seven weeks. First Class USPS arrives in three to 10 days. First Class postage membership (with 3-7 day delivery, U.S. only) $45. . . . . . . . . . . . . . . $ ________ Bulk postage membership 1 year $35 / 2 years $68 / 3 years $99 . . . . . . . . . . . . . . . . . $ ________ PDF download only $25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________ Non-US postage surcharge: Canada $15.00/Others $30.00 . . . . . . . . . . . . . . . . . . . . . . . $ ________ Copy of current issue of Toyota Trails $6.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________ Voluntary Contribution (not tax-deductible) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________ Check Visa Mastercard Discover American Express TOTAL $ ________ Make checks or money orders payable to: TLCA, Inc. - In U.S. funds only (We are currently unable to accept non-US checks) A service charge of $15.00 will be assessed for all returned checks. MAIL TO: TLCA, Inc. 7337 S. Hudson Way Centennial, CO 80122 (800) 655-3810 Online membership submittal is supported on TLCA’s website: www.tlca.org For additional information or to apply by credit card over the phone, please call (800) 655-3810 Card Number: Name as it appears on card: Credit Card Billing Street Address: City: Signed: State: Zip Code: Date: Card Exp Date: Yes! I want TLCA to automatically renew my membership every year. By providing my credit card information and signing below I authorize the Toyota Land Cruiser Association, Inc., and/or its assigns to charge my credit card the amount of current TLCA membership every year in the month prior to my expiration date. I can cancel automatic renewal at any time by contacting the membership office at memberservices@tlca.org or by calling (800) 655-3810. Comments to Staff: TLCA is primarily a volunteer organization and as such, our response time may vary. Your membership will be processed as quickly as possible and you will receive your welcome packet shortly thereafter, including your ID card and stickers. You will receive a PayPal receipt after the transaction is complete. New ID numbers are not emailed. Once you receive your ID card, login credentials can be received by contacting our Webmaster at webmaster@tlca.org. If you need further assistance, please contact the TLCA Administrator at memberservices@tlca.org. 29