M E M B E R S H I P - F O R M

NAME

First Name Last Name

GENDER
MALE

FEMALE

OTHER
DATE OF BIRTH (MM/DD/YYYY)

E-MAIL ADDRESS PHONE NUMBER

ADDRESS

STREET ADDRESS

STREET ADDRESS LINE 2

CITY STATE / PROVINCE

*COMMENT BOX

POSTAL / ZIPCODE

MEMBERSHIP DURATION
NOTE: 1. MEMBERSHIP CAN BE RENEWED BETWEEN 2 WEEKS BEFORE END PERIOD
1 - 5YEARS
2. MEMBERSHIP FORM IS FREE
5 - 10YEARS 3. CLASSIC MEMBERSHIP IDENTITY CARD FEE IS $600 WHILE

10 - 15YEARS VIP MEMBERSHIP IDENTITY CARD FEE IS $850

4. BOTH CLASSIC AND VIP HAS RIGHT TO BOOK APPOINTMENT WITH TIM MCGRAW AFTER BEING A MEMBER

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