Traveling Supremes, Inc. Application for membership OWNER INFORMATION                                                                            Please type or print clearly Date: ______________________ Name: ______________________ ________________ ____________________________ _________________________   first middle   last  nickname? Spouse/Companion: _____________________ ________________ ____________________________ _______________________   first middle   last  nickname? Mailing address: ________________________________________________________________   street   ______________________________, ___________ ________ - _________    city  state  zip code /plus four Phone (_______) ________-______________ Cell phone (_______) ________-__________________   Your e-mail address (please print clearly): ______________________________@_______________________ If Possible, please attach a picture of yourselves. Personal Information (work, family, hobbies, travels, interests, etc.): _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ His Date of Birth: ____________________ Her Date of Birth: ___________________ Anniversary: ______________________ Type: FW / TT / MH Make_______________________Yr.______ # of slides ____ Length_________   The induction fee of $25.00 (per couple) is paid by each new member. When joining before July 1, membership expires December of the same year. When joining on July 1, or later, membership expires December of the following year. The yearly dues are $20.  Please send this application along with your check for $25.00 payable to: Traveling Supremes.  Please inquire for address to send application and check. Thank you!   For more information and address to send application please E-mail Maria Rickles at: budmariarickles@yahoo.com