The Tingleys-United Association
Membership Sign-Up Form
Name: ____________________________________ Address: __________________________________ City/Town: _________________________________ State/Province
Country:
__________________________________ ZIP/Postal Code
Check One
Box: ___
One-Year Membership $5.00 ___
Lifetime Membership $35.00 Make Checks Payable
to: Print out and mail
this form and check or money order
Tingleys-United Association
to:
TU Treasurer Ted Tingley
3968 River Glen Dr.
Lewisburg, TN
37091