Fill out the Membership Application and mail it to:
To Print Application:
T.A.C.C.I.
P.O. BOX 55533
Houston, TX 77255-5533
T.A.C.C.I. 2009
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: ____ Charter Member ($45) ____ Annual Member ($30) ____ Life Member ($500)
____ 2 year ($55) ___ 2 year Charter+Annual ($65) ____ 3 year ($75) ___ Conditional Life ($100) + 4 Quarterly of $100
Select your category level then click on button to pay.
See our Free items with Membership list below
Texas Association of Concealed Carry Instructors
TSRA MEMBERSHIP APPLICATION
please check one
__ New Application For Self __ Renewal For Self __ Gift Membership
Please Check One: TSRA Member Number __________ Recruiter's Number # R 174105
__ Annual Membership...............$ 25 __ Senior Annual (age 65+).......$ 20+ __ Family Membership..................$ 45 **
__ 3-year Membership................$ 65 __ Senior 3-year Membership....$ 55 + __ Annual Family Membership upgrade
__ Life Membership....................$ 400 __ Senior Life (age 65+)............$ 200+ for existing Life/Endowment/Benefactor
__ Conditional Life Membership...$ * Member..................................$ 20 **
__ Distinguished Annual............$ 20 *** __ 3-year Family membership........$ 100 ***
__ Defender Membership............$ 2,000 __ Distinguished 3-year.............$ 55 *** __ 3-year Family Membership upgrade
__ Benefactor Membership.........$ 1,000 for existing Life/Endowment/Benefactor
__ Endowment Membership........$ 700 __ Junior (age 20 and less).........$ 3 + Member...................................$ 55 **
__ Business/Club.......................$ 50 **** Receive $5 recruiting fee for each new member sponsored
Dues Rates effective 5/1/2007. Membership Dues are subject to change without notice.
* Down payment of $40 or more, balance paid within 2 years. ** Provide (use separate sheet) names and birthdates of family members..
*** Distinguished members are those disabled in military service. + Provide birthdates for senior and junior memberships: ____________________
______________________________________________________________
Name: Mr./Mrs./Ms. ___________________________________ Address: __________________________________________
City: _________________________________ State: _________ Zip: ___________ Phone ( ) _______________________
YES! Place me on the email alert list! Email Address: ___________________________________________________
Payment Information Check Enclosed # _____________ Visa MasterCard Discover AMEX
Account Number: _____________________________Exp. Date: ___________ Signature: _____________________________
Make checks payable to TSRA. Complete and return the application to TSRA 314 E. Highland Mall Blvd. #300, Austin, TX 78752,
Or fax application with credit card information to 512-615-4123.
Join TSRA Today! Earn Money For TACCI.
Using this application pays $5.00 to TACCI - use for yourself
plus make copies for friends and family members!
Click on Eagle
To join NRA
TACCI Membership Free Incentives
1. Annual - 2010 CHL Lesson Plan PDF Edition
2. Two Year - Red Cap
3. Three Year - Red Instructor Polo
4. Life Conditional -
#1 payment: White Cap
+ 2010 Edition Lesson Plan PDF Edition
#2 payment: Gun Range Timer
#3 payment: CHL Power Point Lesson Plan
#4 payment: Red Cap + Red Polo
#5 payment: CHL Instructor Wind Breaker
5. Life - all of Life Conditional
Join or Renew - pay here
Click on Logo
To join TCHA
