M A R C H · A P R I L 2 0 1 5
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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 verifi cation or for
marketing their products only.
This information will NOT be
sold to any outside companies.
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
TLCA MEMBERSHIP APPLICATION
PLEASE PRINT
New Member: Renewal: If a renewal, TLCA Member ID:
If you don't have your ID, leave blank.
Name:
Birth Date M/D/YR:
Address:
City:
State:
Zip Code:
Phone(s) Home:
Work:
Email Address:
Toyota(s) Owned Model:
Year:
Chapter Member: Yes No
Chapter Name:
Are you affi liated in other 4WD organizations? Yes No
Which?
If you are a new member, how did you fi nd out about TLCA?
If referred by a member, who?
PLEASE ALLOW ONE TO TWO WEEKS FOR MEMBERSHIP PROCESSING
TLCA Membership (includes: TLCA sticker, six issues of Toyota Trails)
NOTE: USPS bulk mail takes two to seven weeks. First Class USPS arrives in three to 10 days.
First Class postage membership (with 3-10 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 $7.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Voluntary Contribution (not tax-deductible) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Check Visa Mastercard Discover American Express . . . . . . . . . . . . . . . . TOTAL $
Card Number:
Name as it appears on card:
Card Exp Date:
Credit Card Billing Street Address:
City:
State:
Zip Code:
Signed:
Date:
Comments to Staff:
Questions? Please contact member services at memberservices@tlca.org