Membership Application

Fill out the Membership Application and

Snail Mail or Email to:

T.A.C.C.I.

P.O. BOX 55533

Houston, TX 77255-5533

T.A.C.C.I. 2010

Membership Application

Name _____________________________________________________________________________________________

Address ___________________________________________________________________________________________

City + Zip Code __________________________________________________________________ TX _________________

Phone (s) _________________________ (cellular) _________________________ (h) __________________________ (wk)

____________________________________ /__________

Instructor Certificate Number Expiration Date

Email Address ___________________________________________________________

Web Site ________________________________________________________________

Paying With: ___ Cash ___ Check ___ Credit Card

Check/Credit Card Number (OR click on PayPal button after selecting level of membership)

___________________/________________ / _______________ / _______________ Expiration Date ________/________

CVV (3 #'s on back) ____________________ or Four on front (AMEX) ________________

Billing Zip Code ____________________ Today’s Date ________________ 20____

I am proud to announce that I also hold membership(s) in

NRA ___ TSRA ___ TCHA ___ GOA ___ Other Gun Assoc. ___________________________________________

Select level of Membership: ____ Annual Member ($30) ____ 2 year ($55) ____ 3 year ($75)

____ Conditional Life ($100) + 4 Quarterly of $100 ____ Life Member ($500)

Select your category level then click on button to pay.

Select your Free Membership lncentive from list below

TACCI Free Membership Incentives

1. Annual - CHL Instructor Cap

2. Two Year - Red Instructor T-Shirt

3. Three Year - CHL DVD

4. Life Conditional -

#1 payment: CHL Instructor Cap

+ Instructor & Student CHL Handbooks

#2 payment: Red Instructor T-Shirt

#3 payment: CHL DVD

#4 payment: Red Cap + Red Polo

#5 payment: CHL Instructor Wind Breaker

5. Life - all of Life Conditional