Mail or Fax Application Form

Tiger Bay Club of Tampa

A one-time initiation fee of $50.00 is required, along with annual dues of $75.00.  The initiation fee, annual dues, and luncheons may be paid by check, cash, or credit card (MasterCard, Visa, American Express).  You only pay for the monthly luncheons you attend.  Reservations are required.  Once reserved, lunches are considered guaranteed and payable at the door.

CALL 741-0004, Fax 741=3673, or e-mail for more information.

PRINT, COMPLETE AND MAIL OR FAX THIS FORM

Name: ________________________________________________________

Address: ______________________________________________________

______________________________________________________________

Telephone: ______________________Fax: __________________________

E-mail: _______________________________________________________

____ Check or Money Order Enclosed

____ Charge credit card: 

Credit Card Type: _______________________________

Account Number: _______________________________________________

Expiration Date: ________  Signature: ______________________________

Enclose your payment in the amount of $125.00 ($50 initiation fee and $75 annual dues). 

Mail application form and payment to: