Join TCAA -- Membership Form

Name First ___________________Init _____Last ___________________

Nickname _________________Maiden Name ___________________

Street ________________________________________________________

City ______________________________ State _________ Zip ________

Email______________________________ Phone (____) ____________

Graduate Yes___ No ____ Year_____

Desired Membership:

___Annual $10 (renewable annual membership)

___Blue $25 (renewable annual membership)
       (Receive 10% discount on Tiffin School Build replicas)

___Gold $50 (renewable annual membership)
       Gold Members receive the discount, and receive
       one school replica of their choice as a gift.

___Life $250 (lifetime membership)
       Life Members receive the discount, and receive
       four school replicas of their choice as a gift.

Print this form, then make checks payable to TCAA, and send to:
TCAA, 300 South Monroe Street. Tiffin, OH 44883.

  OR   To Replica Order Form