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Member 1
First name: *
Middle initial:
Last name: *
Member 2
First name:
Middle initial:
Last name:
Address Information
Street address: *
Apartment:
City: *
State / Province / Territory: *
Country: *
Postal code / Zip: *
Alternate Address (PO Box):
Address Information (second residence)
Street address:
Apartment:
City:
State / Province / Territory:
Country:
Postal code / Zip:
Alternate address (PO Box):
Contact
Phone member 1: *
Phone member 2:
E-mail member 2:
Additional
Language(s) spoken:
Interests member 1: *
Interests member 2:
Occupation member 1 (if retired, former occupation):
Occupation member 2 (if retired, former occupation):
How did you hear about TLC Club:
Host Details
City or Area: *
Direction and mile/km from nearest major city or place of interest: *
Number of persons you can accommodate: *
1 Person 2 Persons 3 Persons 4 Persons 5 Persons 6 Persons 7 Persons+
Local attractions: *
Other amenities offered (pool, hot tub, act as guide, dine out with guests, etc.):
Other info guest needs to know (seasonal availability, many steps to climb, etc.):
Other considerations
Terms & Consent I understand that the TLC Club, and Steve Chambers make no warranties in connection with the Directory, including but not limited to its contents, its use, the accommodations offered, or the actions of participating host or non-host members or any other person or entity. I assume all liability in connection with the membership and my use of the Directory and the accommodations listed in it. I hereby release and hold harmless the TLC Club, and Steve Chambers from all liability from any cause whatsoever in connection with the Directory. This agreement clause applies for either single or couple member applications.
Method of Payment
