TMRA MEMBERSHIP APPLICATION

You can download an application if you prefer not to use our on-line application by clicking on this PDF icon.

If you do use the on-line application, you must complete the transaction with PayPal.

	Full Member New or Renewal: New Renewal First Name: Last Name: TMRA # (if renewing): Gender: Male Female Age: Choice of Pin or Patch: Pin Patch Full Member 1 year ($36) Full Member 2 years ($72) Check both boxes to get three years. The amount will be totaled below. Associate Member New or Renewal: New Renewal First Name: Last Name: TMRA # (if renewing): Gender: Male Female Age: Choice of Pin or Patch: Pin Patch Associate 1 year ($10.30) Associate 2 years ($20.60) Check both boxes to get three years. The amount will be totaled below. Junior Member New or Renewal: New Renewal First Name: Last Name: TMRA # (if renewing): Gender: Male Female Age: Choice of Pin or Patch: Pin Patch Junior 1 year ($5.15) Junior 2 years ($10.30) Check both boxes to get three years. The amount will be totaled below. Member's Address The Daimler's Folly will be delivered to this address. Number and Street (incl. apt. if needed): * City: * State: * AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip code: * Phone: * E-mail: Total includes convenience fee for Paypal use Total : $0