TCA Travel Club University Registration Form
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| Class or Classes you are
registering for: 1._______________________________________________________________ 2._______________________________________________________________ 3._______________________________________________________________ 4._______________________________________________________________ Registrants Name: Last______________________________ First______________________ Address_______________________________ City_________________ State_____ Zip______ Day Phone_____________________________ Evening Phone__________________________ Email Address__________________________________ Payment Method Options: ____ Check or Money Order payable to: TCA Travel Club Inc. ___Visa ___MasterCard Credit Card#__________________________________ Exp.________________ CID#______ The Card Identification (CID) for your credit card is the last three numbers are generally printed on the signature panel on the back our your credit card immediately following your credit card account number. Name on the Credit Card______________________________________________________ Signature__________________________________________________________________ Please fill out form and mail to: TCA Travel Club, P.O. Box 44085, Detroit, Michigan 48244-0085 or fax with copy of check to (586) 552-4463 Attn: Pam |