US, Canada, & Mexico Membership Application

1 affordable TRAVEL CLUB, , canada , & Mexico Membership ApplicationThe Club operates on a calendar year basis (Jan1 - Dec 31)Annual Dues: ___Printed Directory ($75) ___Computer Download ($65) ___Both ($80)Name:_____Address:_____City, etc.:_____Telephone: _____ Fax: _____Cell: _____E-Mail:_____Occupations: _____ Retired: ___yes ___noInterests & Hobbies (list 4): _____Mileage and Direction from major city: _____Dwelling: ___House ___Apartment ___Condominium Check if: ___Rural ___ResortCan accommodate (number of persons) _____ (minimum two)Accept guests on short notice (72 hours or less)? ___Yes ___No ___PossiblyBeds: ___King ___Queen ___Double ___Twin Other: _____Guest s Bath: ___Private for guests ___Shared with hostsType of Breakfast: ___Full ___Continental ___EitherSmoking Permitted: ___Yes ___No ___OutsidePets in household: ___None ___Yes (specify) _____Will accept guests traveling with ___ Dog ___ Cat ___ No pets allowedDo you have stairs that guests must use?

2 ___ Yes ___ NoAir conditioning: ___Yes ___ No ___Not necessaryPublic transportation nearby: ___Yes ___ No ___Car necessaryOther amenities offered (act as guide, dine out with guest (Dutch treat), pool, hot tub, privateentrance, private suite, etc): PLEASE LIST ON BACK OF APPLICATION_____I certify that I am 40 years of age or older. As a member I understand that the affordable Travel Club, no warranties as to the accommodations offered nor for the conduct of participating , I hereby release and hold harmless the affordable Travel Club, Inc. from all liability arisingout of my participation as a s signature _____ Date _____I heard of the affordable Travel Club, Inc. from _____HOUSE SIT___HOUSE/PET SIT ___HOME EXCHANGEC heck one:___Willing to ___NeedDuration: ____ weeksWhen _____ Where _____Please mail this completed Application , along with your dues in US funds, to:The affordable Travel Club6556 Snug Harbor LaneTelephone: 253-858-2172 Gig Harbor, WA 98335 Email.