Texas Card Players Association

ASSOCIATE MEMBERSHIP APPLICATION

Prefix (e.g. Dr., Ms.)
*First Name
Middle Name
*Last Name
Suffix (e.g. Jr., III)
Nickname
*Email
*Address1
Address2
*City
*State
*Zip
Home Phone
Mobile Phone
*Birthdate	Month: Day: Year:
Referred By


*Required Field

Contributions, gifts or membership dues made or paid to the Texas Card Players Association are not refundable or transferable and are NOT DEDUCTIBLE as charitable contributions for Federal income tax purposes. Members must be 21 years of age or older. Membership is subject to approval by the Texas Card Players Association Board of Directors.