TAC - Reciprocal Club Letter of Introduction Form

Reciprocal Club Letter of Introduction Form
Member name*

PrefixFirst NameLast Name
Membership No.
Member Email
example@example.com

Accompanying Members
Accompanying Member #1 (if any)

First NameLast Name
Accompanying Member #2 (if any)

First NameLast Name
Accompanying Member #3 (if any)

First NameLast Name
Accompanying Member #4 (if any)

First NameLast Name
Accompanying Member #5 (if any)

First NameLast Name

Reciprocal Club #1
Pick Club #1*
Club #1 Start Date*

DayMonthYear
Date
Club #1 End Date*

DayMonthYear
Date
Club #1 E-mail
Club1 Date Calculator

MonthDayYear
Date
The {pickClub1}'s End Date must be within 30 days of the Start Date. Please update the chosen date details above.

Reciprocal Club #2
Pick Club #2
Club #2 Start Date

DayMonthYear
Date
Club #2 End Date

DayMonthYear
Date
Club #2 E-mail
Club2 Date Calculator

MonthDayYear
Date
The {pickClub2}'s End Date must be within 30 days of the Start Date. Please update the chosen date details above.

Reciprocal Club #3
Pick Club #3
Club #3 Start Date

DayMonthYear
Date
Club #3 End Date

DayMonthYear
Date
Club #3 E-mail
Club3 Date Calculator

MonthDayYear
Date
The {pickClub3}'s End Date must be within 30 days of the Start Date. Please update the chosen date details above.

Terms and Conditions
TERMS & CONDITIONS

As a member of The American Club, I, {memberName}, with membership no. {membershipNo}:
- Acknowledge that reciprocal club/s require proof of non-residency and I am responsible in providing the necessary documents.
- Confirm that all information provided is true, accurate, and complete to the best of my knowledge.
TAC Sender Email*
example@example.com
Please verify that you are human*
Should be Empty: