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Application for Membership

TMO


Please complete the following fields, then click submit. You will receive a confirmation letter by mail when your application is received. You will then be notified by mail of the results of your application. Generally, applications are approved by the Council within 30 days, unless a current member of the TMO raises an objection.

Membership dues are generally due within 30 days of acceptance.
Membership may be cancelled at any time, and any unpaid membership dues will be dismissed without further action. The TMO is a non-profit fraternal organization.

This is a NO-RISK AND NO-COMMITMENT application.

Please provide the following information:

Name
Street address
City
State/Zip Code/Country
Employer
City/State

Work Phone
Home Phone
FAX
E-mail
Date of birth

Signature: (Please type your name)


The following fields are OPTIONAL. You are not required to continue beyond this point.
YOUR ANSWERS IN THIS SECTION WILL NOT EFFECT YOUR APPLICATION FOR MEMBERSHIP IN THE TMO.


Social Security Number
You are not required to
Provide this information!
You may choose not to answer
this question!

Your Social Security Number will
become your membership number
unless you check the box below.

Assign a different #.



Emergency Contact Information
Person to be notified in case of an emergency:

Name
Address
City/State/Zip
Daytime Phone Number
Evening Phone Number

Please review the TMO Handbook prior to submitting your application.



Do NOT Continue Beyond This Point!



MEMBERSHIP ADMINISTRATOR USE ONLY

Approved?
YES
NO

Date Applicant Notified:

Membership Number:

Initial Payment Due Date:
Initial Amount Due:

Prorated Amount Due:
On (Date):

Subsequent Yearly Due Dates:
Annual Membership Dues:


(c)2002 The TMO. All Rights Reserved.
Last revised: September 04, 2002
This application is not a contract. Membership may be cancelled at any time, and any dues owed to the TMO will be dismissed without further action.

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